Gender Affirmation Voice Surgery — Thieme Chapter

Home›Clinical & Educational›Review: Thyroid Surgery Neural Dysfunction Guidelines Detailed critical review of: Dhillon VK, Randolph GW, Stack BC Jr, et al. Head & Neck 2020. Takes on flawed terminology (“immediate VFP”) and offers corrected statements for each of the paper’s 5 consensus points. Key arguments: “Vocal fold paralysis” is wrong terminology for surgical nerve injury…

Home›Clinical & Educational›What’s a Laryngologist? Explains the various names (laryngologist, phonosurgeon, voice doctor, phoniatrist) and that there is no formal degree — anyone may use the name, though training is becoming more formalized. References the book. Migration note: Could integrate into About Dr. Thomas or a new “What is Laryngology?” intro page.

Home›Clinical & Educational›Anatomy of the Voice Box Accessible anatomy introduction. Three functions of the larynx: regulate breathing, create sound, keep food out of lungs. Describes thyroid cartilage (Adam’s apple), cricoid cartilage, hyoid bone, and how testosterone thickens/elongates vocal cords lowering pitch. Written from a café observation scene with a Japanese-speaking couple. References the book. Migration…

Home›Clinical & Educational›“Nanomargin” Approach to Vocal Cord Tumor Surgery Challenges traditional cordectomy protocols (Remacle et al. 1999/2000, ELS). Proposes paradigm shift from wide surgical margins to precision “nanomargin” technique using modern HD chip endoscopes, NBI/selective color imaging, and programmable CO2 laser. “Orange peel surgery”: Peeling tumor tissue from underlying healthy structures using CO2 laser. Differential…

Home›Clinical & Educational›What Is Voice? Faith N. Metsan’s first appearance — voice disappears suddenly over an afternoon. Dr. Marcus Goodew doesn’t look at vocal cords. Defines voice: “a sound produced by vibration and amplified by resonance; no vocal cords are required.” Violin analogy — anything vibrating in audible range has a voice. Two components: sound…

Home›Clinical & Educational›Can Someone Have a Voice Without Vocal Cords? Story of patient Mary Marlboro — larynx removed for cancer, used electrolarynx then developed esophageal phonation. Voice = sound source + amplifying resonator (no vocal cords required). The two fundamental characteristics of voice: pitch and volume. Wind chimes metaphor. References the book. Migration note: Part…