{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:29:05Z","timestamp":1789000145138,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,12]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n To describe the effects of the Modified Wendler's Glottoplasty (MWG) technique on voice pitch and quality of life (QoL) using preoperative and postoperative outcome measures.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n Single institution retrospective review.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Tertiary care private healthcare facility.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A retrospective cohort study was performed of all transgender patients undergoing voice feminisation surgery using the MWG technique by a single surgeon from September 2020 to August 2024. Demographic data was extracted in addition to preoperative and postoperative speaking and reading fundamental frequencies (\n f<\/jats:italic>\n 0<\/jats:sub>\n ) and Ten Question Voice Handicap Index (VHI\u201010) and TransWoman Voice Questionnaire (TWVQ) scores.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n 300 patients were included in the study with an average age of 36.9 years. Mean preoperative free continuous speech\n f<\/jats:italic>\n 0<\/jats:sub>\n was 125.3\u2009Hz; at 4 weeks, mean\n f<\/jats:italic>\n 0<\/jats:sub>\n statistically significantly increased from baseline to 186.2\u2009Hz (\n P<\/jats:italic>\n \u2009<\u2009.0001) and at 4 months, mean\n f<\/jats:italic>\n 0<\/jats:sub>\n statistically significantly increased from baseline to 182.6\u2009Hz (\n P<\/jats:italic>\n \u2009<\u2009.00034). Mean preoperative reading\n f<\/jats:italic>\n 0<\/jats:sub>\n was 127.7\u2009Hz; at 4 weeks, mean\n f<\/jats:italic>\n 0<\/jats:sub>\n statistically significantly increased from baseline to 191.2\u2009Hz (\n P<\/jats:italic>\n \u2009<\u2009.0001) and at 4 months, mean\n f<\/jats:italic>\n 0<\/jats:sub>\n statistically significantly increased from baseline to 187.8\u2009Hz (\n P<\/jats:italic>\n \u2009<\u2009.0001). Mean VHI\u201010 score was 20.32 preoperatively; this significantly reduced to a mean score of 11.53 at 4 months (\n P<\/jats:italic>\n \u2009<\u2009.0001). Mean TWVQ score was 93.27 preoperatively; this significantly reduced to a mean score of 52.13 at 4 months (\n P<\/jats:italic>\n \u2009<\u2009.0001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This study provides a comprehensive assessment of the outcomes associated with MWG in transgender women seeking gender\u2010affirming voice surgery and demonstrates a significant improvement in vocal pitch and voice\u2010related QoL following surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ohn.70023","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T06:01:51Z","timestamp":1757397711000},"page":"1440-1447","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Gender\u2010Affirming Laryngeal Surgery: The Effects of the Modified Wendler's Glottoplasty on Voice Pitch and Quality of Life"],"prefix":"10.1002","volume":"173","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5599-9953","authenticated-orcid":false,"given":"Maral J.","family":"Rouhani","sequence":"first","affiliation":[{"name":"Division of Medicine University College London London UK"},{"name":"National Centre for Airway Reconstruction, ENT Department, Imperial College Healthcare NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5771-5096","authenticated-orcid":false,"given":"Chadwan","family":"Al Yaghchi","sequence":"additional","affiliation":[{"name":"National Centre for Airway Reconstruction, ENT Department, Imperial College Healthcare NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000967"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000005132"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2016.04.002"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3721-7"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000205198.65797.59"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/anr3.12336"},{"key":"e_1_2_9_8_1","volume-title":"Voice and Articulation Drillbook","author":"Fairbanks 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institution","volume":"0892","author":"Laohakittikul C","year":"2025","journal-title":"J Voice"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-023-02267-5"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31863"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70023","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T09:31:45Z","timestamp":1764322305000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.70023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,8]]},"references-count":19,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/ohn.70023"],"URL":"https:\/\/doi.org\/10.1002\/ohn.70023","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,8]]},"assertion":[{"value":"2025-03-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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