新型嗓音女性化手术方法及研究结果论文发表
艺颂嗓音中心金亨泰院长经过12年的临床研究结果撰写的关于嗓音女性化手术最新型治疗方法,被最具权威的耳鼻喉科学术杂志“The Laryngoscope”收藏。
本次发表的研究论文根据362名接受过嗓音女性化手术的患者为对象,接受最新的嗓音女性化手术方法及嗓音训练后,根据术后音频的上升效果而研究出的结果。
论文题目: A New Conceptual Approach for Voice Feminization: 12 Years of Experience.
论文指名 : 4 Laryngoscope, 127:1102-1108, 2017
提要 :
OBJECTIVES/HYPOTHESIS:
Voice feminization has been developed with various surgical techniques to increase voice pitch. The purpose of this study was to evaluate 12 years of experience using a new endoscopical surgical technique, vocal fold shortening and retrodisplacement of the anterior commissure (VFSRAC) and retraining the voice pattern performed in female patients with androphonia or male-to-female transsexuals.
STUDY DESIGN:
Retrospective study.
METHODS:
A retrospective study was performed on 362 patients who underwent VFSRAC (34 with androphonia, eight with androgenital syndrome, four with aplastic anemia treated with androgens, three with pseudohermaphroditism, and 313 male-to-female [MTF] transsexuals) and phonatory pattern rehabilitation between 2003 and 2014. Subjective and perceptual assessments, aerodynamic and acoustic assessments, and a videostroboscopic assessment were evaluated pre- and postoperatively in the female androphonia group and the MTF transsexual group.
RESULTS:
Mean preoperative fundamental frequency (F0 ) was 144.1 Hz, and mean postoperative F0 was 207.4 Hz, 6 months postoperatively. The mean increase of F0 in the female androphonia group was 53.0 Hz but was 73.6 Hz in the MTF transsexual group after the postoperative phonatory pattern retraining program. Voice femininity increased on the postoperative subjective assessment. Acoustic and aerodynamic assessments were within the normal range. Regularity of the vocal fold mucosal wave were maintained in the normal range. These findings suggest that patients could achieve a natural phonation pattern after surgery.
CONCLUSIONS:
Our new approach for voice feminization, VFSRAC, and retraining of the phonatory pattern was effective for patients who wanted a natural feminine voice.