Voice Feminization Surgery
Voice Feminization Surgery (VFS), founded and directed by Dr. Juan Carlos Casado, have treated multiple transgender patients and guarantees optimum results.
The surgical technique (Wendler glottoplasty) has been modified and developed throughout the training and learning years. Our patients get a specialized voice therapy after the surgery.
Dr. Casado is an expert voice surgeon and regularly invited as speaker of his speciality, Feminization Voice Surgery, to many scientific conferences. He has recently published the only article of voice feminization (Wendlers glotoplasty) in Spanish, explaining his surgical technique and excellent results.
Voice feminization in Barcelona
Dr. Juan Carlos Casado has participated as a speaker, about Voice Feminization, in the “I Forum of gender identity and latest advances in trans surgery” held in Valencia (Spain) during the 14-15 June.
The purpose of this professional meeting is to be a link, update and follow-up for multidisciplinary health care applied to trans people.
The Forum, which has different specialties such as otolaryngology, plastic surgery, gynecology, psychology, psychiatry, endocrinology and urology, will emphasize clinical aspects, coordination, planning and research, priority issues to ensure the quality of this care.
Our speech therapist, Mª Soledad Angulo Serrano, has also participated in the Forum, conducting a multidisciplinary approach in the voice feminization.
Dr. Juan Carlos Casado has presented his new book titled VOICE FEMINIZATION: A MULTIDISCIPLINARY APPROACH TO TRANSGENDER WOMAN, of which he is coauthor with Dr. Enrique Maraví Aznar
This book is the result of the scarcity of updated manuals that deal with the process of voice feminization in transgender women in an accessible and didactic way.
In many of them there is concern that their voice does not reflect the vocal tone they consider appropriate with respect to their external appearance, that is, that their voice does not sound stereotypically feminine.
In order to achieve this increase in vocal tone, the intervention of a multidisciplinary team is necessary, in which the otorhinolaryngologist and the specialized speech therapist collaborate closely, as our method supports.
This book is structured in a series of chapters that help, in our opinion, to better understand, not only the voice feminization process, but also, other areas that are part of the transition of a transgender woman, such as the hormonal treatment, facial feminization surgery, sex reassignment surgery.
We would like this book to serve as a practical guide, aimed at both health professionals and transgender women themselves and their associations, to understand in a global way the journey undertaken in their transition.
You can get the book at the following link of itunes store https://itun.es/es/9fIEfb.l
THYROID CONDROPLASTY. ADAM’S APPLE REDUCTION
WHAT IS ADAM’S APPLE?
Adam’s apple, is a prominence that produces the anterior border of the thyroid cartilage that helps protect the walls, the front of the larynx, and the vocal cords (which are located directly behind it); is considered a secondary sexual character of the male sex.
Another function of the laryngeal protuberance is related to the deepening of the voice. During adolescence, the thyroid cartilage grows in conjunction with the larynx. Consequently, the laryngeal protuberance increases in size mainly in men. As a whole, a larger resonance box is formed in the speech apparatus, and as a result, a tone of voice deepening obtained.
WHAT IS THE TIROID CONDROPLASTY OR ADAM’S APPLE REDUCCTION?
Reduction of Adam’s apple is a very simple surgery, but it must be performed by an expert surgeon, since an excessive reduction can weaken the structure of the larynx or “voice box”, and permanently alter the quality of the voice.
The technique consists of using a minimal incision, taking advantage of the crease or wrinkle that is in the middle of the neck so that the resulting scar is practically imperceptible, reduce by surgical milling the anterior border of the thyroid cartilage. Surgical intervention is performed under general or local anesthesia with sedation, in a day hospital regime (the patient leaves the hospital the same day of the operation). The duration is about 30-40 minutes and the aesthetic result is immediate.
As for the recovery, during the first 24 – 48 hours you can experience some discomfort and inflammation, for this the surgeon will administer the corresponding medication. There will be a continuous stitch that will be removed 10 days after surgery.
WHO REQUESTS ADAM’S APPLE REDUCTION?
The profile of the people who usually ask for the reduction of the Adam’s apple are men with exaggerated development of the thyroid cartilage; although this surgery is one of the most requested by women suffering from gender dysphoria.