目前的性别确认声乐护理方法。

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-06-01 Epub Date: 2024-02-23 DOI:10.1097/MOO.0000000000000967
Sarah McBrinn, Christella Antoni, Chadwan Al Yaghchi
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引用次数: 0

摘要

综述的目的:这篇综述探讨了变性女性在实现性别认同与嗓音特征一致性方面所面临的挑战,并强调了涉及治疗和手术干预的多学科方法的重要性:近期有关性别确认嗓音护理的文献强调了评估、嗓音女性化治疗和各种手术技术(包括声门成形术及其改良)等关键主题。摘要:在过去的18个月中,大多数出版物都主张将嗓音治疗与手术相结合,以获得最佳效果。就基频增益而言,综合疗法比单独疗法更有效。改良温德勒声门成形术仍是首选和最可靠的手术干预方法。然而,手术并非没有并发症和发声权衡,尤其是对声带投影的影响和长期发音障碍的风险。手术后康复治疗可改善长期疗效。最近发表的关于其他手术方法的文章,即激光缩窄声门成形术和女性化喉成形术,显示出了良好的前景,但其结果较难推广:未来方向:需要开展具有标准化方案的前瞻性多中心研究,以确立最佳循证实践。
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Current approaches to gender-affirming vocal care.

Purpose of review: This review addresses the challenges faced by transgender women in achieving congruence between gender identity and voice characteristics and emphasizes the importance of a multidisciplinary approach involving therapeutic and surgical interventions.

Recent findings: Recent literature on gender-affirming vocal care emphasizes key themes such as assessment, voice feminization therapy, and various surgical techniques, including glottoplasty and its modifications. Recent publications focused on outcomes, duration, and impact on vocal quality and scrutinized complications associated with surgical interventions.

Summary: Most publications in the last 18 months advocate for the integration of voice therapy and surgery for optimal outcomes. Utilising a combined approach is significantly more effective in terms of fundamental frequency gain compared to therapy alone. Modified Wendler's glottoplasty remains the preferred and most reliable surgical intervention. However, surgery is not without its complications and vocal trade-offs, in particular, its impact on vocal projection and the risk of long-term dysphonia. Postsurgery rehabilitation improves long-term outcomes. Recent publications on alternative surgical approaches, namely laser reduction glottoplasty and feminization laryngoplasty, show promise but the results are more difficult to generalise.

Future direction: Prospective multicentre studies with standardized protocols are needed to establish best evidence-based practices.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
96
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.
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