Thyroid chondroplasty: Smoothing the thyroid cartilage— A retrospective study of thyroid chondroplasty for feminine neck appearance

ABSTRACT  Background: Thyroid chondroplasty is a surgical intervention for reduction of the Adam's apple, performed in trans women to achieve a more feminine appearance of the neck. This procedure is necessary since hormonal therapy given as part of gender affirming medical interventions has no effect on the mature larynx. Objectives: We aim to describe our thyroid chondroplasty surgical technique and outcome of all thyroid chondroplasties performed during the study period. Methods: A retrospective chart review of all thyroid chondroplasty procedures performed in a tertiary referral center between 2006 and 2015. Patients' clinical characteristics and surgical outcome were recorded and analyzed. Results: Twenty-seven trans women underwent thyroid chondroplasty in our institution. Post-operative complications included a single patient who suffered from false vocal fold (ventricular folds) hematoma that resolved spontaneously. Five other patients had an erythematous scar. No other complications were observed. Conclusion: Thyroid chondroplasty is a safe procedure for achieving a feminine neck contour in trans women.