{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T14:10:44Z","timestamp":1788963044770,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"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"],"abstract":"ABSTRACT<\/jats:title>\n \n Objective(s)<\/jats:title>\n To describe outcomes of gender\u2010affirming glottoplasty with adjunctive voice therapy in trans women and explore relationships between acoustic and patient\u2010reported measures of voice.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n \n A prospective, descriptive and exploratory study included 58 trans women undergoing glottoplasty performed and followed in a single multidisciplinary voice clinic. Acoustic outcomes included speaking fundamental frequency (s\n f<\/jats:italic>\n o<\/jats:sub>\n ), min and max s\n f<\/jats:italic>\n o<\/jats:sub>\n , phonation range, and spectral measures derived from sustained vowels and connected speech. Patient\u2010reported outcomes included the TWVQ and voice satisfaction measures. Associations between acoustic and patient\u2010reported measures were analyzed. A linear mixed\u2010effects model (LMM) was used to estimate the group\u2010level intervention effect in addition to covariates age and number of prior and postoperative voice therapy sessions.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Glottoplasty was associated with group\u2010level increases in s\n f<\/jats:italic>\n o<\/jats:sub>\n but substantial interindividual variability in acoustic and functional outcomes. LMM showed substantial pre\u2010 to post\u2010intervention increase in s\n f<\/jats:italic>\n o<\/jats:sub>\n , min and max s\n f<\/jats:italic>\n \n o<\/jats:italic>\n <\/jats:sub>\n , max\n f<\/jats:italic>\n o<\/jats:sub>\n , and improvement in TWVQ scores but deterioration in AVQI, CPPS, and in phonation range. Age and number of pre\u2010 or postoperative voice therapy sessions had no substantial effect on outcomes. Patient\u2010reported measures indicated improvement in perceived voice outcomes, but associations between acoustic measures and patient\u2010reported outcomes were variable.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Gender\u2010affirming glottoplasty with adjunctive postsurgical voice therapy results in improved key acoustic and patient\u2010reported voice outcomes at a group level; however, outcomes vary between individuals. These findings highlight the multifactorial nature of voice change following glottoplasty and the importance of multidimensional assessment beyond fundamental frequency, given outcomes reflect more than structural vocal fold shortening.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n 4.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.70882","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:24:49Z","timestamp":1788960289000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond Group Outcomes: Gender\u2010Affirming Glottoplasty and Postoperative Voice Therapy"],"prefix":"10.1002","author":[{"given":"Nicole","family":"Free","sequence":"first","affiliation":[{"name":"Voice Medicine Australia Melbourne Australia"},{"name":"Australian Catholic University Melbourne Australia"},{"name":"Melbourne Voice Analysis Centre Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8916-3695","authenticated-orcid":false,"given":"Debra","family":"Phyland","sequence":"additional","affiliation":[{"name":"Voice Medicine Australia Melbourne Australia"},{"name":"Melbourne Voice Analysis Centre Melbourne Australia"},{"name":"Department of ENT Surgery Monash University Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Oates","sequence":"additional","affiliation":[{"name":"Voice Medicine Australia Melbourne Australia"},{"name":"Melbourne Voice Analysis Centre Melbourne Australia"},{"name":"La Trobe University Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sterling","family":"Quinn","sequence":"additional","affiliation":[{"name":"La Trobe University Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9628-3057","authenticated-orcid":false,"given":"Michael","family":"Steele","sequence":"additional","affiliation":[{"name":"Australian Catholic University Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Paddle","sequence":"additional","affiliation":[{"name":"Melbourne Voice Analysis Centre Melbourne Australia"},{"name":"Department of ENT Surgery Monash University Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1080\/26895269.2022.2100644","article-title":"Standards of Care for the Health of Transgender and Gender Diverse People, Version 8","volume":"23","author":"Coleman E.","year":"2022","journal-title":"International Journal of Transgender Health"},{"key":"e_1_2_10_3_1","volume-title":"Proceedings of the XVIth Union of the European Phoniatricians Congress","author":"Wendler J.","year":"1990"},{"key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.jvoice.2020.11.005","article-title":"Effect of Endoscopic Glottoplasty on Acoustic Measures and Quality of Voice: A Systematic Review and Meta\u2010Analysis","volume":"37","author":"Aires M. 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M.","year":"2023","journal-title":"Brazilian Journal of Otorhinolaryngology"},{"key":"e_1_2_10_10_1","doi-asserted-by":"crossref","first-page":"1513","DOI":"10.1016\/j.jvoice.2022.06.012","article-title":"Comparison Between Two Surgical Techniques for Increasing Vocal Pitch by Endoscopic Shortening of the Vocal Folds","volume":"38","author":"Casado\u2010Morente J. C.","year":"2024","journal-title":"Journal of Voice"},{"issue":"6","key":"e_1_2_10_11_1","first-page":"1873","article-title":"Pitch Alteration Techniques for Transgender Women: A Systematic Review of Surgical and Nonsurgical Approaches","volume":"39","author":"Chowdhury R.","year":"2025","journal-title":"Journal of Voice"},{"key":"e_1_2_10_12_1","doi-asserted-by":"crossref","first-page":"1521","DOI":"10.1002\/ohn.1173","article-title":"Efficacy and Patient Satisfaction in Voice Feminization Procedures: A Systematic Review and Meta\u2010Analysis","volume":"172","author":"Lanham K.","year":"2025","journal-title":"Otolaryngology\u2014Head and Neck Surgery"},{"key":"e_1_2_10_13_1","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1044\/2017_JSLHR-S-17-0067","article-title":"Voice, Articulation, and Prosody Contribute to Listener Perceptions of Speaker Gender: A Systematic Review and Meta\u2010Analysis","volume":"61","author":"Leung Y.","year":"2018","journal-title":"Journal of Speech, Language, and Hearing Research"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2024.02.003"},{"key":"e_1_2_10_15_1","doi-asserted-by":"crossref","first-page":"5054","DOI":"10.1002\/lary.31682","article-title":"Update of Vocal Fold Shortening With Retrodisplacement of Anterior Commissure for Voice Feminization","volume":"134","author":"Kim H. 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