{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:27:10Z","timestamp":1788269230952,"version":"build-2803163510"},"reference-count":12,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2000,11,1]],"date-time":"2000-11-01T00:00:00Z","timestamp":973036800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2000,11]]},"abstract":"<jats:p>To date, there is a paucity of literature on surgery to alter vocal pitch in male-to-female transsexuals. The currently available pitch-raising surgical techniques yield neither a good long-term result nor a high enough pitch to simulate a female voice. We investigated a new procedure to alter vocal pitch in 6 male-to-female transsexuals. The principle is to shorten and increase tension on both vocal folds by composite resection of a vertical strip of the anterior thyroid cartilage along with a segment of vocal fold. This resulted in a satisfactory pitch alteration from an average of 147 Hz before operation to 315 Hz afterward. In addition to a marked pitch elevation, all patients were particularly pleased with the softness of the voice and the simultaneous loss of the prominentia laryngea (Adam's apple). The longest follow-up was 6 years. In conclusion, thyroid cartilage and vocal fold reduction is an effective method for long-term alteration of voice in male-to-female transsexuals.<\/jats:p>","DOI":"10.1177\/000348940010901116","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:40:52Z","timestamp":1412347252000},"page":"1082-1086","source":"Crossref","is-referenced-by-count":46,"title":["Thyroid Cartilage and Vocal Fold Reduction: A New Phonosurgical Method for Male-to-Female Transsexuals"],"prefix":"10.1177","volume":"109","author":[{"given":"Somyos","family":"Kunachak","sequence":"first","affiliation":[{"name":"Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supawadee","family":"Prakunhungsit","sequence":"additional","affiliation":[{"name":"Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanjalak","family":"Sujjalak","sequence":"additional","affiliation":[{"name":"Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2000,11,1]]},"reference":[{"key":"bibr1-000348940010901116","doi-asserted-by":"publisher","DOI":"10.3109\/00016487409126379"},{"key":"bibr2-000348940010901116","first-page":"335","volume":"12","author":"Isshiki N","year":"1983","journal-title":"J Otolaryngol"},{"key":"bibr3-000348940010901116","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)31073-2"},{"key":"bibr4-000348940010901116","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199201000-00018"},{"key":"bibr5-000348940010901116","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890040512"},{"key":"bibr6-000348940010901116","doi-asserted-by":"publisher","DOI":"10.1177\/000348948309200513"},{"key":"bibr7-000348940010901116","doi-asserted-by":"publisher","DOI":"10.1177\/000348948709600523"},{"key":"bibr8-000348940010901116","doi-asserted-by":"publisher","DOI":"10.1177\/000348948509400604"},{"key":"bibr9-000348940010901116","doi-asserted-by":"publisher","DOI":"10.1177\/019459989310800309"},{"key":"bibr10-000348940010901116","first-page":"1","volume":"1","author":"Scherer RC","year":"1990","journal-title":"Proc Acoust Soc Jpn"},{"key":"bibr11-000348940010901116","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-7091-3737-6"},{"key":"bibr12-000348940010901116","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9924(88)90031-7"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348940010901116","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348940010901116","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:18:24Z","timestamp":1777375104000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000348940010901116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,11]]},"references-count":12,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2000,11]]}},"alternative-id":["10.1177\/000348940010901116"],"URL":"https:\/\/doi.org\/10.1177\/000348940010901116","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,11]]}}}