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The effectiveness of pitch-raising surgery in male-to-female transsexuals : a systematic review

(2017) JOURNAL OF VOICE. 31(2). p. 244.e1-244.e5
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Organization
Abstract
Objectives. This study aimed to review the evidence of the effectiveness of pitch-raising surgery performed in male-to-female transsexuals. Methods. Asearch for studies was performed in PubMed, Web of Science, Science Direct, EBSCOhost, Google Scholar, and the references in retrieved manuscripts, using as keywords "transsexual" or "transgender" combined with terms related to voice surgery. We included eight studies using cricothyroid approximation, six studies using anterior glottal web formation, and six studies using other surgery types or a combination of surgical techniques, leading to 20 studies in total. Results. Objectively, a substantial rise in postoperative fundamental frequency was identified. Perceptually, mainly laryngeal web formation seems risky for decreasing voice quality. The majority of patients seemed satisfied with the outcome. However, none of the studies used a control group and randomization process. Further investigation regarding long-term results is necessary. Conclusion. Future research needs to investigate long-term effects of pitch-raising surgery using a stronger study design.
Keywords
Transsexualism, Male-to-Female, Voice, Surgery, CRICOTHYROID APPROXIMATION, WEB FORMATION, VOICE CHANGE, VOCAL PITCH, ELEVATION

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Chicago
Van Damme, Silke, Marjan Cosyns, Sofie Deman, Zoë Van den Eede, and John Van Borsel. 2017. “The Effectiveness of Pitch-raising Surgery in Male-to-female Transsexuals : a Systematic Review.” Journal of Voice 31 (2): 244.e1–244.e5.
APA
Van Damme, Silke, Cosyns, M., Deman, S., Van den Eede, Z., & Van Borsel, J. (2017). The effectiveness of pitch-raising surgery in male-to-female transsexuals : a systematic review. JOURNAL OF VOICE, 31(2), 244.e1–244.e5.
Vancouver
1.
Van Damme S, Cosyns M, Deman S, Van den Eede Z, Van Borsel J. The effectiveness of pitch-raising surgery in male-to-female transsexuals : a systematic review. JOURNAL OF VOICE. 2017;31(2): 244.e1–244.e5.
MLA
Van Damme, Silke, Marjan Cosyns, Sofie Deman, et al. “The Effectiveness of Pitch-raising Surgery in Male-to-female Transsexuals : a Systematic Review.” JOURNAL OF VOICE 31.2 (2017): 244.e1–244.e5. Print.
@article{8518758,
  abstract     = {Objectives. This study aimed to review the evidence of the effectiveness of pitch-raising surgery performed in male-to-female transsexuals. 
Methods. Asearch for studies was performed in PubMed, Web of Science, Science Direct, EBSCOhost, Google Scholar, and the references in retrieved manuscripts, using as keywords {\textacutedbl}transsexual{\textacutedbl} or {\textacutedbl}transgender{\textacutedbl} combined with terms related to voice surgery. We included eight studies using cricothyroid approximation, six studies using anterior glottal web formation, and six studies using other surgery types or a combination of surgical techniques, leading to 20 studies in total. 
Results. Objectively, a substantial rise in postoperative fundamental frequency was identified. Perceptually, mainly laryngeal web formation seems risky for decreasing voice quality. The majority of patients seemed satisfied with the outcome. However, none of the studies used a control group and randomization process. Further investigation regarding long-term results is necessary. 
Conclusion. Future research needs to investigate long-term effects of pitch-raising surgery using a stronger study design.},
  author       = {Van Damme, Silke and Cosyns, Marjan and Deman, Sofie and Van den Eede, Zo{\"e} and Van Borsel, John},
  issn         = {0892-1997},
  journal      = {JOURNAL OF VOICE},
  language     = {eng},
  number       = {2},
  pages        = { 244.e1--244.e5},
  title        = {The effectiveness of pitch-raising surgery in male-to-female transsexuals : a systematic review},
  url          = {http://dx.doi.org/10.1016/j.jvoice.2016.04.002},
  volume       = {31},
  year         = {2017},
}

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