Adam's apple

Cross section of thyroid cartilage before and after laryngoplasty at 9.11.34 PM

Adam's apple 26

Adam's apple 10

Adam's apple, also known as the laryngeal prominence, is a feature of the human neck that is more prominent in males than in females. It is formed by the angle of the thyroid cartilage that surrounds the larynx. The Adam's apple is typically larger in men because of the influence of testosterone on the growth of the larynx around the time of puberty, which also contributes to the deepening of the voice.

Development

The development of the Adam's apple is a part of secondary sexual characteristics that emerge during puberty. In males, the expansion of the larynx and the stretching of the vocal cords lead to a deeper voice and the protrusion of the thyroid cartilage. This process is influenced by hormones, predominantly testosterone, which is why the Adam's apple is more pronounced in males. Females also have a thyroid cartilage, but it is less prominent due to the smaller size of the larynx and the impact of estrogen.

Function

The primary function of the Adam's apple is related to the protection of the larynx and the vocal cords. It also serves as a resonating chamber that contributes to the depth and richness of the voice. The size of the Adam's apple itself does not directly correlate with voice pitch; however, the size of the larynx and length of the vocal cords, which influence the prominence of the Adam's apple, do affect the pitch of the voice.

Cultural and Social Aspects

The Adam's apple is often considered a symbol of masculinity due to its association with a deeper voice and its more prominent appearance in males. In some cultures, a larger Adam's apple is seen as more desirable or attractive in men. Conversely, individuals, particularly transgender women, who wish to have a less prominent Adam's apple can undergo a surgical procedure known as thyroid cartilage reduction or tracheal shave to reduce its size.

Medical Considerations

While the Adam's apple itself is not associated with many medical conditions, its size can sometimes indicate hormonal imbalances or disorders. Additionally, any noticeable changes or discomfort in the area should be evaluated by a healthcare professional to rule out potential issues with the thyroid gland or larynx.

Surgical Modification

Thyroid cartilage reduction, also known as a tracheal shave, is a surgical procedure aimed at reducing the size of the Adam's apple. This procedure is often sought by transgender women and some cisgender men who wish to have a less pronounced laryngeal prominence. The surgery involves making an incision in the area and shaving down the thyroid cartilage. As with any surgical procedure, there are risks involved, and individuals considering this surgery should consult with a qualified surgeon to discuss the potential benefits and risks.

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