Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of voice feminization. Reports persistent gender dysphoria related to vocal pitch, resonance, and prosody. Patient desires surgical or therapeutic intervention to align vocal characteristics with gender identity. No history of laryngeal trauma, vocal nodules, or prior vocal surgery. Current vocal range and habitual pitch noted as inconsistent with desired feminine presentation.
Clinical Examination Findings
Laryngoscopic examination reveals normal vocal fold anatomy without structural pathology. Glottic closure is complete. Fundamental frequency (F0) measured at [Insert Hz]. Resonance patterns demonstrate significant posterior pharyngeal focus. Prosodic features lack typical feminine inflection patterns. No evidence of vocal fold edema, scarring, or neurological impairment.
Treatment Protocol
Recommended treatment plan: 1. Referral to specialized speech-language pathology for vocal feminization therapy (focus on resonance and prosody). 2. Discussion of surgical options, including Wendler glottoplasty or anterior commissure advancement, if non-surgical methods prove insufficient. 3. Pre-operative baseline acoustic analysis and post-operative follow-up schedule established.