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08.05.2020 | Short Communication

Chondrolaryngoplasty for transgender patients: feasibility of a scar-free approach

European Archives of Oto-Rhino-Laryngology
Marie Verhasselt, Gaëtan Cavelier, Mihaela Horoi, Didier Dequanter, Alejandra Rodriguez
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Adult male-to-female transgender patients with a prominent thyroid notch can benefit from chondrolaryngoplasty with high satisfaction rates. It is a safe, effective, and established procedure with only minor and temporary complications. Until now, only external approaches have been described, leaving the patient with a cervical scar, which remains a frequent complaint. The goal of this study is to assess the feasibility of a transvestibular endoscopic chondrolaryngoplasty.


Transvestibular endoscopic chondrolaryngoplasty was conducted on six fresh adult male cadavers. The thyroid cartilage approach was similar to the one described in cases of transvestibular endoscopic thyroidectomy. After thyroid notch exposition, the laryngeal prominence was shaved down using an endoscopic burr until the desired aesthetic result was achieved.


Laryngeal prominence volume was significantly reduced without any cutaneous scar.


We have demonstrated that this novel approach is feasible and has the advantage of leaving the patient’s neck scar-free.

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