Voice Outcome of Glottoplasty, Cricothyroid Approximation, Thyroplasty, and Chondrolaryngoplasty

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorUniversity Ghent

About this trial

The purpose of this study is to measure the short- and long-term voice outcome and outcome predictors of glottoplasty, cricothyroid approximation, thyroplasty, and chondrolaryngoplasty using a prospective non-randomized controlled trial and a multidimensional voice assessment protocol. Secondly, a laryngeal magnetic resonance imaging protocol will be developed to measure pre- and postoperative anatomical factors and compare them with the acoustic changes.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Persons who will soon undergo surgery on the vocal folds and/or larynx (including glottoplasty, cricothyroid approximation, thyroplasty and/or thyroid chondroplasty) at UZ Gent

At least 18 years old

Sufficient command of the Dutch language for understanding the informed consent letter and completing Dutch questionnaires

Dutch-speaking

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Phonosurgery

    Procedure/Surgery

    Gender-affirming voice surgery (such as glottoplasty, cricothyroid approximation, thyroplasty and chondrolaryngoplasty), in addition to gender-affirming voice training and hormone therapy, plays an important role in achieving a gender-congruent voice in transgender and gender diverse people. In addition, these interventions are sometimes performed on cisgender men or women who wish to change their voice. However, the impact of these interventions on broad voice characteristics needs to be further investigated.

  • Mastectomy/breast augmentation

    Procedure/Surgery

    Control group of PFAB and PMAB persons undergoing a mastectomy or breast augmentation surgery.

Treatment groups

290 Participants
are divided into 2 treatment groups
Group A: Experimental group: phonosurgeryExperimental treatment 1 intervention
Group B: Control group: other surgeryActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Speaking fo

Speaking fundamental frequency

Time frame
pre, post 1 (1 week), post 2 (1 month), post 3 (6 months), post 4 (1 year)
2

FF 1-5

Formant frequencies 1-5

Time frame
pre, post 1 (1 week), post 2 (1 month), post 3 (6 months), post 4 (1 year)
3

Perceptual femininity/masculinity score

Self-perception and listener perceptions of femininity and masculinity. Visual analogue scale (0 = very masculine, 100 = very feminine).

Time frame
pre, post 1 (1 week), post 2 (1 month), post 3 (6 months), post 4 (1 year)

Secondary outcomes

1

Vocal capacity

Dysphonia Severity Index, cut-off score 1.6 (above 1.6 is normophonic)

Time frame
pre, post 1 (1 week), post 2 (1 month), post 3 (6 months), post 4 (1 year)
2

Vocal range

Voice Range Profile (min-max of fo and intensity (SPL))

Time frame
pre, post 1 (1 week), post 2 (1 month), post 3 (6 months), post 4 (1 year)
3

Vocal quality

Acoustic Voice Quality Index, cut-off score 2.95 (below 2.95 is normophonic)

Time frame
pre, post 1 (1 week), post 2 (1 month), post 3 (6 months), post 4 (1 year)
4

Laryngeal function

Flexible videolaryngostroboscopy

Time frame
pre, post 1 (1 week), post 2 (1 month), post 3 (6 months), post 4 (1 year)

Other outcomes

Sponsors and contacts

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