{"title":"Interventional Pulmonology: Approaches to treatment of benign subglottic and tracheal stenosis","authors":"Pankitkumar Patel, J. Toth","doi":"10.1016/j.otot.2023.05.011","DOIUrl":"https://doi.org/10.1016/j.otot.2023.05.011","url":null,"abstract":"","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45249385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tania Benjamin MD, P. Daniel Knott MD, Rahul Seth MD
{"title":"Gender-affirming facial surgery: Anatomy and fundamentals of care","authors":"Tania Benjamin MD, P. Daniel Knott MD, Rahul Seth MD","doi":"10.1016/j.otot.2023.01.002","DOIUrl":"10.1016/j.otot.2023.01.002","url":null,"abstract":"<div><p>Caring for patients who identify as transgender and gender diverse (TGD) requires a ground level understanding of proper patient communication, a framework for decision-making surrounding medical and surgical interventions, and an awareness of obstacles surrounding healthcare. The objective of this chapter is to highlight appropriate terminology and definitions, discuss the current standards of care for transgender health, raise awareness of the barriers to healthcare access facing the TGD population, and discuss basic facial anatomy and sexual dimorphisms. Gender incongruence occurs when birth-assigned sex and gender identity differ for an individual, and gender dysphoria is the distress felt in this state. Persons who experience gender dysphoria may seek gender-affirming hormone therapy or surgery. Access to care is not straightforward, and the current standards of care aim to provide a guideline for administration of hormones and surgery. In order to offer the highest level of care, surgeons should have a fundamental understanding of issues surrounding the TGD community combined with a robust comprehension of facial features characterizing gender.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 1","pages":"Pages 3-13"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46741495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gender-affirming hair procedures","authors":"Jeffrey Epstein MD , Anthony Bared MD","doi":"10.1016/j.otot.2023.01.004","DOIUrl":"10.1016/j.otot.2023.01.004","url":null,"abstract":"<div><p>Hair transplantation can play a complementary role in the spectrum of gender affirming procedures. Amongst the hair restoration procedures sought by transgender patients, female hairline feminization, beard and eyebrow transplantation, surgical hairline lowering, and body hair transplantation are the most popular. Hairline lowering, hairline feminization, and eyebrow and pubic hair transplantation can play roles for the male to female (MTF) transition patient while beard and body hair transplantation can play integral roles for the female to male (FTM) transitioning patient to create a more feminine or masculine appearance and to help conceal prior surgical scarring. This chapter will delineate the role hair restoration plays for the transitioning patient. The various surgical approaches and treatment paradigms will be detailed for the hair restoration surgeon.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 1","pages":"Pages 19-29"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41806789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joanna Jacobs MD, Christopher Z. Johnson MD, Myriam Loyo MD MCR
{"title":"Feminization rhinoplasty","authors":"Joanna Jacobs MD, Christopher Z. Johnson MD, Myriam Loyo MD MCR","doi":"10.1016/j.otot.2023.01.006","DOIUrl":"10.1016/j.otot.2023.01.006","url":null,"abstract":"<div><p>Gender affirming rhinoplasty is integral to gender-affirming facial surgery, and while sharing some characteristics with cisgender rhinoplasty, there are particular considerations, goals, and techniques of which to be aware. This publication will share how these authors approach feminizing rhinoplasty along with standard operative techniques for select common feminizing interventions by subsite. Techniques will proceed from cephalic to caudal and are not exhaustive of the many possible surgical interventions that are useful in gender-affirming rhinoplasty. Ultimate choice of approach and technique are chosen to meet the individual goals of each patient.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 1","pages":"Pages 38-45"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46693500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neil N. Patel MD, MSc, Arushi Gulati BS, P. Daniel Knott MD, Rahul Seth MD
{"title":"Facial masculinization surgery","authors":"Neil N. Patel MD, MSc, Arushi Gulati BS, P. Daniel Knott MD, Rahul Seth MD","doi":"10.1016/j.otot.2023.01.011","DOIUrl":"10.1016/j.otot.2023.01.011","url":null,"abstract":"<div><p>Gender-affirming facial surgery (GFS) describes approaches and strategies to surgically feminize or masculinize the face. Although techniques for performing facial feminization surgery are widely described, surgical masculinization techniques are underreported. While hormone treatments typically accomplish adequate masculinization in most cases, nonsurgical therapy is not universally effective. Surgical masculinization may be undertaken after lack of efficacy of nonsurgical therapy. With a deep understanding of the volumetric differences of the male facial skeleton, facial masculinization surgery essentially follows an augmentative paradigm for the upper, middle, and lower thirds of the face. Herein, we describe operative techniques used for facial masculinization.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 1","pages":"Pages 69-73"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44825815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gender-affirming voice surgery: Pitch elevation","authors":"Joseph Chang MD","doi":"10.1016/j.otot.2023.01.010","DOIUrl":"10.1016/j.otot.2023.01.010","url":null,"abstract":"<div><p>Voice and communication are a critical contributor to gender presentation. Various options are available for gender affirming voice care depending on the needs of the patient, and include hormone replacement therapy, voice therapy, and voice surgery. Despite a traditionally poor reputation, more recent literature has shown voice surgery, particularly anterior glottoplasty, to be a low risk and effective treatment for pitch elevation that may be considered as an adjunct to voice therapy.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 1","pages":"Pages 63-68"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48246279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacqueline A. Wulu MD, MS , Elizabeth Blasberg MD , Jeffrey H. Spiegel MD
{"title":"Feminizing frontal cranioplasty","authors":"Jacqueline A. Wulu MD, MS , Elizabeth Blasberg MD , Jeffrey H. Spiegel MD","doi":"10.1016/j.otot.2023.01.003","DOIUrl":"10.1016/j.otot.2023.01.003","url":null,"abstract":"<div><p>Feminizing frontal cranioplasty<span><span><span> (FFC) is perhaps the most significant, single gender-affirming surgical procedure. It consists of forehead/glabella bone contouring and/or frontal sinus set back, orbital </span>osteoplasty, anterior hairline rounding, hairline or </span>scalp<span> advancement, and brow lifting. The feminizing frontal cranioplasty is a safe and effective means to produce ideal patient results for gender-affirming facial surgery. Herein we describe an open approach to the frontal cranioplasty useful for facial feminization surgery.</span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 1","pages":"Pages 14-18"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48714958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David W. Chou MD , Andrew Kleinberger MD , Charles Shih MD
{"title":"Feminizing mandibuloplasty","authors":"David W. Chou MD , Andrew Kleinberger MD , Charles Shih MD","doi":"10.1016/j.otot.2023.01.005","DOIUrl":"10.1016/j.otot.2023.01.005","url":null,"abstract":"<div><p>Compared to the typical female mandible, the adult male mandible tends to be wider, vertically taller, and has prominence of the angles. As these differences can affect gender perception, transwomen may achieve a smaller, tapered, and feminine lower jaw contour via feminizing mandibuloplasty. Modifications to the mandible and soft tissues are performed via an intraoral incision. Overall, this surgical procedure has a low risk of major complications and patients typically show high rates of postoperative satisfaction.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 1","pages":"Pages 30-37"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45166943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Feminization of the midface: Cheek augmentation and buccal fat pad removal","authors":"Megan L. Swonke MD , Angela Sturm MD","doi":"10.1016/j.otot.2023.01.008","DOIUrl":"10.1016/j.otot.2023.01.008","url":null,"abstract":"<div><p><span>A feminine face is typically heart-shaped with a prominent malar region and lean midface. This ideal is dependent on both the skeletal architecture and the soft-tissue structures. Cheek augmentation and buccal lipectomy aid in the inverted triangulation between the points of the cheeks and the chin, feminizing the midface. Herein, we describe the </span>anatomy<span> and operative technique for facial feminization of the midface.</span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 1","pages":"Pages 50-56"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46686129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VyVy N. Young MD , Rahul Seth MD , P. Daniel Knott MD , Clark A. Rosen MD
{"title":"Chondrolaryngoplasty","authors":"VyVy N. Young MD , Rahul Seth MD , P. Daniel Knott MD , Clark A. Rosen MD","doi":"10.1016/j.otot.2023.01.009","DOIUrl":"10.1016/j.otot.2023.01.009","url":null,"abstract":"<div><p><span><span>Chondrolaryngoplasty (often referred to as a “tracheal shave” by the public) aims to decrease the gender dysphoria associated with the anterior prominence of the thyroid cartilage. The fullness in the anterior neck caused by the “Adam's apple” commonly contributes to misgendering of trans females. Transcervical approaches have traditionally been utilized for resection, although recently, transoral techniques have been described. Complications after transcervical approach chondrolaryngoplasty are uncommon and typically include mild, temporary </span>dysphonia<span>, dysphagia, or scar. It is vital to identify and protect the anterior attachment of the </span></span>true vocal folds during this procedure to prevent disastrous permanent changes to the voice. Nevertheless, chondrolaryngoplasty remains a highly safe and effective procedure.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 1","pages":"Pages 57-62"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47854074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}