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  • Friday, June 17, 2016
  • 0706-000372 Poster 80 - VOICE MODIFICATION AND TRANSGENDER IDENTITY: INTEREST AND RESULTS OF THE SPEECH THERAPY WITH OR WITHOUT SURGERY.

    June 19, 2016 8:00 AM - June 19, 2016 6:00 PM

    • LUCILE GIRARD-MONNERON, PhD ;
    • CAUDE FUGAIN, MD ;
    • ISABELLE WAGNER, MD

    Purpose

    But to work alone on one’s voice is difficult. A speech therapist sets up a caring environment, in order to help and enable the Transgender person to understand how his voice works, gradually change it and to integrate new guidelines to be used in everyday life. For MtF people the results may sometimes not be sufficient and, in such a case, several types of surgery can be proposed. Nevertheless we are not talking about surgery to feminize the voice, but surgery that aims to raise the pitch of the voice. It is therefore important to establish a framework for these techniques to assess their risk/benefit ratio, and to inform the person clearly of it. 

    Materials and Methods

    We have developed with the Foch Hospital in Suresnes a management protocol that allows transgender persons to be accompanied in the evolution of the characteristics of their voice and to offer them, if they wish, laryngeal surgery (cricothyropexie for the majority). Surgery is proposed on a case-by-case basis within specified time limits based on the results and patient needs. Regular exchanges are made between Trans person, the speech pathologist, surgeon and speech therapist.

    Results

    This support allows the patient to decide himself whether or not surgery, (if the physiological criteria permitting), and the most appropriate time of its realization. A speech-language work is always performed postoperatively to avoid forcing a voice and allow good appropriation of new benchmarks in height and articulation. As for people Trans FtM taking testosterone causes a lengthening and thickening of the vocal cords thus worsening the comparable voice change of a teenager. However, in some cases it happens that this remains incomplete molting and development work of the lower harmonics is proposed. This work "deepening" and "masculinization" of voice is also proposed to FtM people who do not want hormone replacement therapy. In this case the result will be largely related to the size and thickness of the vocal cords of a person.

    Conclusion

    If the objective results show an evolution of the pitch and timbre of the voice, giving a male or female voice according to the wish of the patient or an androgynous voice, the main result is the person satisfaction and his fluency in everyday exchanges. It is a subjective result being built by a trust relationship between the Trans person and technical team. This does by no means the medicalization "Voice transition", but to give a coherent medical response to a social difficulty.




    Category: Speech and Voice Therapy