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Abstract：
BACKGROUND: With the development of new ENT techniques, many male transsexuals who wish to become women usually request a surgical procedure to raise the fundamental frequency of the voice (feminization). The ENT specialist and the voice-therapist have to use an interdisciplinary approach to this growing social demand. The aim of this study was to show the results in a group of transsexual patients after Wendler\'s anterior synechiae, with additional voice-therapy treatment.
METHODS: Ten male transexulas who wish to become women patients who had Wendler glottoplasty and voice-therapy were assessed. The surgical procedure consisted of a de-epithelialization of the anterior third of both vocal folds; this area was sutured and the surface of both vocal folds was vaporised with laser diode. Pre- and postsurgery voice assessment consisted of measuring fundamental frequency (Fo) and maximum phonation time, administering the transgender self-assessment questionnaire (TSEQ) and obtaining perceptual voice assessment by inter-rater agreement.
RESULTS: All the male transsexuals who wish to become women patients significantly increased their Fo (106 Hz on average) after the treatment. Furthermore, significant improvements were shown in self-reported satisfaction and in the degree of voice feminization. No improvements in the maximum phonation time were observed.
CONCLUSIONS: Wendler glottoplasty is a surgical procedure to contribute to feminising the voice, with good medium-term results and without noteworthy medical complications. The increase in vocal tone was observed using several pre- and post-surgery control measures and voice therapy.
METHODS: Ten male transexulas who wish to become women patients who had Wendler glottoplasty and voice-therapy were assessed. The surgical procedure consisted of a de-epithelialization of the anterior third of both vocal folds; this area was sutured and the surface of both vocal folds was vaporised with laser diode. Pre- and postsurgery voice assessment consisted of measuring fundamental frequency (Fo) and maximum phonation time, administering the transgender self-assessment questionnaire (TSEQ) and obtaining perceptual voice assessment by inter-rater agreement.
RESULTS: All the male transsexuals who wish to become women patients significantly increased their Fo (106 Hz on average) after the treatment. Furthermore, significant improvements were shown in self-reported satisfaction and in the degree of voice feminization. No improvements in the maximum phonation time were observed.
CONCLUSIONS: Wendler glottoplasty is a surgical procedure to contribute to feminising the voice, with good medium-term results and without noteworthy medical complications. The increase in vocal tone was observed using several pre- and post-surgery control measures and voice therapy.
摘要：
背景：随着ENT新技术的发展，许多希望成为女性的男性变性者通常要求进行外科手术以提高声音的基本频率（女性化）。耳鼻喉科专家和语音治疗师必须使用跨学科的方法来满足这种日益增长的社会需求。这项研究的目的是显示一组Wendler前粘连术后变性患者的结果，额外的声音疗法治疗。
方法：对10例希望成为接受Wendler声门成形术和嗓音治疗的女性患者的男性直连进行了评估。外科手术包括两个声带的前三分之一的上皮化；缝合该区域，并用激光二极管蒸发两个声带的表面。手术前和手术后的语音评估包括测量基频（Fo）和最大发声时间，管理变性人自我评估问卷（TSEQ），并通过评分者之间的协议获得感知声音评估。
结果：所有希望成为女性患者的男性变性者在治疗后其Fo（平均106Hz）显著增加。此外，自我报告的满意度和语音女性化程度显着改善。没有观察到最大发声时间的改善。
结论：Wendler声门成形术是一种有助于使声音女性化的外科手术，具有良好的中期结果，并且没有值得注意的医学并发症。使用几种手术前和手术后的控制措施和声音疗法观察到声调的增加。
方法：对10例希望成为接受Wendler声门成形术和嗓音治疗的女性患者的男性直连进行了评估。外科手术包括两个声带的前三分之一的上皮化；缝合该区域，并用激光二极管蒸发两个声带的表面。手术前和手术后的语音评估包括测量基频（Fo）和最大发声时间，管理变性人自我评估问卷（TSEQ），并通过评分者之间的协议获得感知声音评估。
结果：所有希望成为女性患者的男性变性者在治疗后其Fo（平均106Hz）显著增加。此外，自我报告的满意度和语音女性化程度显着改善。没有观察到最大发声时间的改善。
结论：Wendler声门成形术是一种有助于使声音女性化的外科手术，具有良好的中期结果，并且没有值得注意的医学并发症。使用几种手术前和手术后的控制措施和声音疗法观察到声调的增加。
