Head and Neck Surgeons’ Perspective on Chondrolaryngoplasty: A Case Series

Agne GR, Vanz RL, Lopes KM, de Sande Lee FV, Bento GN and Belli M

Head and Neck Surgery in PESCOP Group, Balneario Camboriu, Brazil Plastic Surgery in PESCOP Group, Balneario Camboriu, Brazil

^*Correspondance to: Guilherme Reimann Agne 

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Abstract:

Objective: Stigma associated with a conspicuous laryngeal prominence affects the self-image of women and transgender individuals (male-to-female). Chondrolaryngoplasty refers to a surgical procedure performed to reduce a prominent Adam’s apple. However, no Brazilian study has reported this type of surgery. In this study, we discuss in detail a head and neck surgery team’s experience with chondrolaryngoplasty, focused on the technical aspects and role of computed tomography in surgical planning. Methods: This retrospective case series includes three cases of chondrolaryngoplasty performed by a team of head and neck surgeons. Clinical and epidemiological data were obtained from the hospital’s electronic medical records. Additionally, a questionnaire was administered to evaluate patient satisfaction and surgical complications. Computed tomography and Three-Dimensional (3D) reconstructions were performed. We performed a literature review using the MEDLINE (PubMed) database to search for articles that described aesthetic chondrolaryngoplasty and compared with the technique used. Results: All patients were discharged the day following surgery, and patient satisfaction was consistently high. The procedure was safe, without complications. No patient developed dysphonia or dysphagia. Computed tomography and 3D reconstruction used for operative planning facilitated surgeries with favorable aesthetic outcomes, without complications. Conclusion: Despite the limited sample size of this study, we observed that careful planning and anatomical knowledge can facilitate safe and effective surgery. Head and neck surgeons have extensive knowledge of and good familiarity with the laryngeal anatomy and are technically proficient in chondrolaryngoplasty. Thin-cut laryngeal computed tomography and 3D reconstruction are valuable tools for preoperative planning.

Keywords:

Tracheal shave; Adam’s apple; Thyroid notch; Chondrolaryngoplasty; Transgender; Facial feminization surgery

Cite the Article:

Agne GR, Vanz RL, Lopes KM, de Sande Lee FV, Bento GN, Belli M. Head and Neck Surgeons’ Perspective on Chondrolaryngoplasty: A Case Series. World J Surg Surgical Res. 2024; 7: 1522..