Evidence map›Paper›PMID 41806533›Full record

GuidelineBrazilian journal of otorhinolaryngology

Glottoplasty for vocal feminization in transgender women: position paper of the Brazilian Academy of Laryngology and Voice (ABLV).

Mateus Morais Aires, André Alencar Araripe Nunes, Érica Cristina Campos E Santos, Christiano de Giacomo Carneiro, Guilherme Simas do Amaral Catani, Adriana Hachiya, Erik Frota Haguette, Luciano Rodrigues Neves, Geraldo Druck Sant' Anna, Marcos André de Sarvat

Abstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in Brazilian journal of otorhinolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mateus Morais AiresUniversidade de Pernambuco (UPE), Faculdade de Ciências Médicas, Recife, PE, Brazil; Universidade Federal de Pernambuco (UFPE), Hospital das Clínicas, Recife, PE, Brazil. Electronic address: mateus.aires@upe.br.
André Alencar Araripe NunesUniversidade Federal do Ceará (UFC), Fortaleza, CE, Brazil.
Érica Cristina Campos E SantosUniversidade Federal da Bahia (UFBA), Hospital Universitário Prof. Edgard Santos, Salvador, BA, Brazil.
Christiano de Giacomo CarneiroUniversidade de São Paulo (USP) Bauru, Bauru, SP, Brazil.
Guilherme Simas do Amaral CataniUniversidade Federal do Paraná (UFPR), Hospital das Clínicas, Curitiba, PR, Brazil.
Adriana HachiyaUniversidade de São Paulo (USP), Hospital das Clínicas, São Paulo, SP, Brazil.
Erik Frota HaguetteHospital Geral de Fortaleza (HGF), Fortaleza, CE, Brazil.
Luciano Rodrigues NevesUniversidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, São Paulo, SP, Brazil.
Geraldo Druck Sant' AnnaUniversidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.
Marcos André de SarvatUniversidade Federal do Estado do Rio de Janeiro (UNIRIO), Rio de Janeiro, RJ, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo establish consensus-based recommendations for the indication, surgical technique, and perioperative care in glottoplasty for transgender women seeking vocal feminization.

methodsTen otolaryngologists from distinct Brazilian academic institutions, all experienced in transgender voice surgery, contributed to this position paper. A modified Delphi method was applied, supported by a narrative literature review. Recommendations were classified using Oxford Centre for Evidence-Based Medicine levels.

resultsGlottoplasty is indicated for transgender women experiencing vocal gender incongruence, regardless of their baseline fundamental frequency. Absolute and relative contraindications were defined, as well as recommended preoperative assessments such as videolaryngoscopy, acoustic voice analysis, and validated quality-of-life questionnaires. Perioperative management includes voice rest, individualized medication protocols, and post-operative voice therapy. Most recommendations are based on level IV and V evidence, reflecting the current paucity of prospective studies.

conclusionThis is the first Brazilian consensus on glottoplasty for transgender women, providing structured clinical guidance for indication, technical execution, and follow-up. Higher-level evidence is needed to strengthen future recommendations.

Indexed as

FeminizationGender-Affirming SurgeryGlottisLaryngoplastyTransgender PersonsBrazilDelphi TechniqueFemaleHumansMaleVoice QualityConsensusGender affirmation surgeryTransgender personsVoice disorders

Identifiers

PMID41806533
PMCPMC12994021

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.