Chondrolaryngoplasty

Abstract

Chondrolaryngoplasty (often referred to as a “tracheal shave” by the public) aims to decrease the gender dysphoria associated with the anterior prominence of the thyroid cartilage. The fullness in the anterior neck caused by the “Adam's apple” commonly contributes to misgendering of trans females. Transcervical approaches have traditionally been utilized for resection, although recently, transoral techniques have been described. Complications after transcervical approach chondrolaryngoplasty are uncommon and typically include mild, temporary dysphonia, dysphagia, or scar. It is vital to identify and protect the anterior attachment of the true vocal folds during this procedure to prevent disastrous permanent changes to the voice. Nevertheless, chondrolaryngoplasty remains a highly safe and effective procedure. Chondrolaryngoplasty (often referred to as a “tracheal shave” by the public) aims to decrease the gender dysphoria associated with the anterior prominence of the thyroid cartilage. The fullness in the anterior neck caused by the “Adam's apple” commonly contributes to misgendering of trans females. Transcervical approaches have traditionally been utilized for resection, although recently, transoral techniques have been described. Complications after transcervical approach chondrolaryngoplasty are uncommon and typically include mild, temporary dysphonia, dysphagia, or scar. It is vital to identify and protect the anterior attachment of the true vocal folds during this procedure to prevent disastrous permanent changes to the voice. Nevertheless, chondrolaryngoplasty remains a highly safe and effective procedure.