背景:软骨喉成形术是变性女性的经典面部女性化手术。近年来,然而,越来越多的出生时被分配为女性的患者出于美学目的寻求软骨喉成形术。传统的软骨喉成形术不再能够应对日益增长的人群的问题,这些人群的喉突出的主要原因与跨性别人群不同。
方法:一种改进的技术被设计为对经典程序的补充。在软骨减少过程之后,成对的颈阔肌皮瓣相继升起和前进,导致甲状腺切迹上的重叠区域,进一步伪装甲状腺突出。为了评估新技术的效率,对2016年至2021年接受手术的34例患者(5名男性和29名女性)进行了回顾性调查,通过5分的李克特量表,包括7个问题。还完成了医师评估以提供额外的估计。对并发症进行随访分析,评价改良手术的安全性。
结果:尽管只有一半的患者分级的显著性改变超过“中度改变”,“多达75.0%的人仍然对结果表示“完全满意”或“非常满意”。同样,医生的评估表明,在外观改善方面取得了令人满意的结果。术后无严重和不可逆的并发症发生,但4例患者报告了持续的瘢痕相关问题,应给予更多关注。
结论:一般来说,新技术既安全,高效,对于大多数患者来说,尤其是那些在出生时就赋予女性审美需求的人。
Chondrolaryngoplasty is a classical facial feminization surgery for transgender women. In recent years, however, an increasing number of patients assigned female at birth are seeking chondrolaryngoplasty for esthetic purposes. Traditional chondrolaryngoplasty can no longer cope with problems of the growing group whose leading cause of laryngeal prominence differs from the transgender population.
A modified technique is designed as a supplement to the classical procedure. After the cartilage reduction process, paired platysma flaps are raised and advanced successively, resulting in an overlapped area over the thyroid notch, to further camouflage the thyroid prominence. To evaluate the efficiency of the new technique, a retrospective survey of 34 patients (5 men and 29 women) who underwent the surgery from 2016 to 2021 was performed, via a 5-point Likert scale including 7 questions. Physician assessment was also accomplished to provide an extra estimation. Complications were followed up and analyzed to evaluate the safety of modified surgery as well.
Although only half of the patients graded prominence changes more than \"moderately changed,\" as many as 75.0% of them still expressed \"completely satisfied\" or \"satisfied very much\" with the outcome. Similarly, physician assessment indicated a satisfactory result in appearance improvement. No severe and irreversible complications occurred after surgery, but lasting scar-related issues were reported by 4 patients and should be paid more attention to.
Generally speaking, the new technique is both safe, efficient, and satisfying for most patients, especially ones assigned females at birth with esthetic demand.