Chondrolaryngoplasty
Surgical procedure to reduce the prominence of the Adam's apple
Chondrolaryngoplasty, also known as a tracheal shave, is a surgical procedure designed to reduce the size of the laryngeal prominence, commonly referred to as the Adam's apple. This procedure is often sought by individuals seeking a more feminine neck contour, particularly transgender women and cisgender women with prominent laryngeal cartilages.
Anatomy of the Laryngeal Prominence
The laryngeal prominence is formed by the angle of the thyroid cartilage, which is part of the larynx. In males, the angle is more acute, resulting in a more prominent Adam's apple. This prominence is less pronounced in females due to a wider angle of the thyroid cartilage.
Indications for Chondrolaryngoplasty
Chondrolaryngoplasty is primarily indicated for individuals who are uncomfortable with the appearance of a prominent Adam's apple. This discomfort can be due to gender dysphoria in transgender women or aesthetic concerns in cisgender women. The procedure is often part of facial feminization surgery for transgender individuals.
Surgical Procedure
The procedure involves making a small incision in the neck, usually in a natural skin crease to minimize visible scarring. The surgeon then carefully shaves down the thyroid cartilage to reduce the prominence of the Adam's apple. Care is taken to avoid damage to the vocal cords and other structures of the larynx.
Preoperative Considerations
Before undergoing chondrolaryngoplasty, patients typically undergo a thorough evaluation to assess their overall health and suitability for surgery. This includes a discussion of the risks and benefits of the procedure, as well as the patient's expectations.
Postoperative Care
After the surgery, patients may experience some swelling and discomfort, which can be managed with pain medication. It is important to follow the surgeon's postoperative instructions to ensure proper healing and to minimize the risk of complications.
Risks and Complications
As with any surgical procedure, chondrolaryngoplasty carries certain risks. These may include infection, bleeding, scarring, and changes in voice. However, when performed by an experienced surgeon, the risk of complications is minimized.
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Contributors: Prab R. Tumpati, MD