Abstract
Importance:
Transgender patients who desire a gender-congruent neck contour may forego transcutaneous procedures due to the risk of neck scar stigmata related to such procedures.
Objective:
To describe the development and experience with the first 77 cases of a novel gasless transvestibular technique for gender-affirming surgery of the laryngeal prominence.
Design, Setting, Participants:
Video and narrative description of a novel surgical technique, and case series describing the consecutive first 77 patients to undergo transoral chondrolaryngoplasty (TCLP) at a quaternary transgender referral center.
Results:
Between November 2019 and April 2022, 77 patients underwent the novel surgery of TCLP. Median follow-up was 8.74 months (range: 1–30 months). Four patients suffered surgical complications (two laryngotomy, two skin necrosis), and three patients requested revision surgery.
Conclusions and Relevance:
TCLP is reported in the largest published series to date offering hidden incision for gender-affirming care. With further prospective outcome investigations, TCLP may prove to be a reliable approach of performing chondrolaryngoplasty while avoiding visible neck incisions.
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