{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T05:58:11Z","timestamp":1787464691459,"version":"build-2736575974"},"reference-count":23,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T00:00:00Z","timestamp":1612915200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Laser reduction glottoplasty is a relatively new surgical procedure for voice feminization on transgender women. This study aims to determine long-term voice results of glottoplasty on transwomen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Nonrandomized, retrospective, cohort. Tertiary referral center. Endoscopic laser reduction glottoplasty was performed on 28 transwomen. Voice Handicap Index (VHI-30), Transsexual Voice Questionnaire (TVQ), acoustic analysis with \/a\/ for F\n                      <jats:sub>0<\/jats:sub>\n                      , jitter, shimmer, noise to harmonic ratio and acoustic analysis for speaking F\n                      <jats:sub>0<\/jats:sub>\n                      were measured before and after surgery. Patients self-evaluated their postoperative voices and medical students and 2 voice experts scored patients\u2019 pre- and postsurgery voice samples as masculine, feminine or neither.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Mean total VHI and TVQ scores improved significantly postoperatively ( P\u2009&lt;\u2009.001). Pre- and postsurgery mean F\n                      <jats:sub>0<\/jats:sub>\n                      were 132 and 198\u2009Hz and mean speaking F\n                      <jats:sub>0<\/jats:sub>\n                      were 123 and 194\u2009Hz, respectively; these variations were found statistically significant ( P\u2009&lt;\u2009.001). Postoperative mean jitter, shimmer and NHR increased significantly compared to preoperative values ( P\u2009&lt;\u2009.05). Nine patients (32%) were not happy with their postsurgery voice result and were offered anterior glottic web formation as secondary procedure. MFT women\u2019s self-ratings of their postsurgery voices showed 3 masculine, 19 feminine and 6 neither outcomes, leading to patient gratification score of 68%. Medical students evaluated 79% of postsurgery voice specimens as feminine. Voice experts evaluated 75% of postsurgery voice specimens as feminine.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Laser reduction glottoplasty is an accomplished and satisfying operation for feminizing voice of transwomen. Its voice outcome appears to be durable for 5\u2009years. However, secondary operation may be needed to further gratify transwomen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489421993728","type":"journal-article","created":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T06:41:15Z","timestamp":1613198475000},"page":"1057-1063","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Laser Reduction Glottoplasty for Voice Feminization: Experience on 28 Patients"],"prefix":"10.1177","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8999-3237","authenticated-orcid":false,"given":"Taner","family":"Y\u0131lmaz","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Furkan","family":"\u00d6zer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma Esen","family":"Ayd\u0131nl\u0131","sequence":"additional","affiliation":[{"name":"Department of Speech & Language Pathology, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,2,10]]},"reference":[{"key":"bibr1-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1044\/2015_AJSLP-14-0098"},{"key":"bibr2-0003489421993728","doi-asserted-by":"publisher","DOI":"10.3109\/00016487409126379"},{"key":"bibr3-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1177\/000348948309200513"},{"key":"bibr4-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1177\/000348948509400604"},{"key":"bibr5-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-013-2511-3"},{"key":"bibr6-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010901116"},{"key":"bibr7-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(99)80028-9"},{"key":"bibr8-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2009.07.004"},{"key":"bibr9-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2013.04.004"},{"key":"bibr10-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2017.03.006"},{"key":"bibr11-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000205198.65797.59"},{"key":"bibr12-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2009.06.004"},{"key":"bibr13-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360.0603.66"},{"key":"bibr14-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2012.11.005"},{"key":"bibr15-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2012.06.001"},{"key":"bibr16-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-2058-8"},{"key":"bibr17-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2014.05.002"},{"key":"bibr18-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2006.12.010"},{"key":"bibr19-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2016.07.018"},{"key":"bibr20-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26110"},{"key":"bibr21-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890040512"},{"key":"bibr22-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26127"},{"key":"bibr23-0003489421993728","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3721-7"}],"container-title":["Annals of Otology, Rhinology &amp; 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