ArticleThe Laryngoscope2026
Chondrolaryngoplasty: Vocal Considerations, Outcomes, and Effects on Acoustic Measures of Voice.
Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
objectivesChondrolaryngoplasty reduces the laryngeal prominence creating a smoother, more feminine neck contour. Although voice change is a feared complication, validated voice outcomes remain limited and lack objective acoustic data. This study documents peri-operative voice metrics, including patient-reported outcomes, expert perceptual ratings, and quantitative acoustic measures.
methodsA retrospective review was conducted of patients undergoing chondrolaryngoplasty between June 2021 and August 2025 through a tertiary care interdisciplinary laryngology practice. Pre-/post-operative voice data were collected, including stroboscopic findings, Voice Handicap Index-10 (VHI-10), Trans-Women Voice Questionnaire (TWVQ), Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V), and objective acoustic analyses encompassing 11 parameters of pitch/frequency and cepstral parameters. Student's t-tests and Wilcoxon signed-rank tests assessed changes across measures.
resultsThirty-five surgeries were analyzed. Postoperatively, 18 patients (51.4%) reported no perceived voice change, 17 (48.6%) described transient alterations with return to baseline. Mean change in VHI-10 was 0.08 ± 6.02 (p = 0.96), TWVQ was 8.67 ± 12.2 (p = 0.12). CAPE-V ratings showed no significant differences in overall severity (-2.6, p = 0.35), roughness (-2.9, p = 0.12), breathiness (0.5, p = 0.70), or strain (-0.7, p = 0.79). No statistically significant changes were observed across all 11 acoustic parameters (all p > 0.25). CSID, CPP, and pitch-related measures remained stable.
conclusionsChondrolaryngoplasty provides aesthetic neck contour improvement without producing measurable changes in voice quality. Subjective patient reports, validated voice outcome measures, CAPE-V ratings, and acoustic analyses collectively support that the procedure does not adversely affect voice, pitch, or acoustic stability. LEVEL OF EVIDENCE: 4:
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