{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:52:57Z","timestamp":1787752377167,"version":"build-2784847793"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Gender\u2010affirming voice care has primarily focused on trans women with limited research on nonbinary (NB) individuals. This study aims to describe baseline characteristics of NB individuals seeking gender\u2010affirming voice treatment to enhance clinicians' understanding and improve patient care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of NB individuals seeking voice treatment at a tertiary laryngology center was conducted. Data on demographics, medical history (including hormone therapy), presenting concerns, and baseline voice\u2010related outcome measures were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010five NB individuals (13 assigned male at birth (AMAB)) are described. Mean age was 32.3\u2009years (range: 21\u201350) with the majority (84%) identifying as white, non\u2010Hispanic. 80% were on gender\u2010affirming hormone replacement therapy, with 56% receiving feminizing hormones. Most had previously engaged in gender\u2010affirming treatments, including surgery, voice therapy, and mental health services. All patients presented for gender\u2010related voice concerns: 92% reported dissatisfaction with voice quality, and 52% utilized gendered language when describing their voice goals. Voice\u2010related experiences of nonbinary individuals (VENI) survey was completed by 8 patients, mean score 45 out of 68. Mean overall grade of dysphonia was 29.4 (0, 85). No organic changes were noted on videostroboscopy. All patients were stimulable for improvement toward patient\u2010expressed goals based on SLP assessment, and voice therapy was recommended to all patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study offers the first comprehensive description, at presentation, of NB individuals seeking gender\u2010affirming voice care. Understanding their voice concerns and goals is essential for providing personalized, effective care that aligns with their unique experiences and aspirations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70158","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:13:56Z","timestamp":1761128036000},"page":"825-831","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Voice Characteristics at Presentation in Nonbinary Individuals Seeking Gender\u2010Affirming Voice Care"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4151-2638","authenticated-orcid":false,"given":"Camryn R.","family":"Marshall","sequence":"first","affiliation":[{"name":"UCSF Voice &amp; Swallowing Center, Department of Otolaryngology\u2010Head and Neck Surgery University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L.","family":"Schneider","sequence":"additional","affiliation":[{"name":"UCSF Voice &amp; Swallowing Center, Department of Otolaryngology\u2010Head and Neck Surgery University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5748-0976","authenticated-orcid":false,"given":"Desi","family":"Gutierrez","sequence":"additional","affiliation":[{"name":"UCSF Voice &amp; Swallowing Center, Department of Otolaryngology\u2010Head and Neck Surgery University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7070-1342","authenticated-orcid":false,"given":"Tyler W.","family":"Crosby","sequence":"additional","affiliation":[{"name":"UCSF Voice &amp; Swallowing Center, Department of Otolaryngology\u2010Head and Neck Surgery University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1571-1086","authenticated-orcid":false,"given":"Clark A.","family":"Rosen","sequence":"additional","affiliation":[{"name":"UCSF Voice &amp; Swallowing Center, Department of Otolaryngology\u2010Head and Neck Surgery University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1758-3276","authenticated-orcid":false,"given":"Yue","family":"Ma","sequence":"additional","affiliation":[{"name":"UCSF Voice &amp; Swallowing Center, Department of Otolaryngology\u2010Head and Neck Surgery University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3095-8290","authenticated-orcid":false,"given":"VyVy N.","family":"Young","sequence":"additional","affiliation":[{"name":"UCSF Voice &amp; Swallowing Center, Department of Otolaryngology\u2010Head and Neck Surgery University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000003805"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2022.2100644"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.0978"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28932"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2020.12.037"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0361684312442161"},{"key":"e_1_2_8_8_1","volume-title":"Voice and Communication Therapy for the Transgender\/Gender Diverse Client: A Comprehensive Clinical Guide","author":"Adler R. 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