000			03690nam a22004937a 4500
008			240723s20242024 xxu||||| |||| 00| 0 eng d
022			_a1748-6815
024			_aS1748-6815(24)00030-5 [pii]
040			_aOvid MEDLINE(R)
099			_a38402813
245			_aSurgical techniques and outcomes of thyroid chondroplasty in transfeminine individuals: A systematic review.
251			_aJournal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS. 91:56-66, 2024 Apr.
252			_aJ Plast Reconstr Aesthet Surg. 91:56-66, 2024 Apr.
253			_aJournal of plastic, reconstructive & aesthetic surgery : JPRAS
260			_c2024
260			_p2024 Apr
260			_fFY2024
265			_sppublish
265			_tMEDLINE
501			_aAvailable online from MWHC library: 1995 - present
520			_aThyroid chondroplasty (TC) in facial gender-affirming surgery (FGAS) is aimed at modifying the thyroid cartilage to achieve a more feminine laryngeal appearance. This study evaluated open versus endoscopic techniques to TC and associated outcomes and complications. A systematic review (SR) of articles pertaining to TC was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Twelve articles representing 368 patients were included for analysis. Nine articles described open approaches, and three articles described endoscopic techniques. The rate of total complications was 4.3% (n = 12) in the open approach compared to 15% (n = 13) in the endoscopic approach. Positive esthetic results were reported in 92% of cases performed with the open approach and 90% with the endoscopic approach. In the open approach, seven (2.5%) patients requested additional removal of cartilage, and three (1.1%) requested scar revision. In the endoscopic approach, three (3.7%) patients requested additional cartilage removal. In addition, data of individuals who underwent "cervical tracheoplasty" for gender dysphoria from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was reviewed, and there was no incidence of wound or major complications among patients who underwent tracheoplasty alone. Although the advantage of the endoscopic approach is a scarless neck incision, the rate of complications is higher with the open approach. Endoscopic approaches are still not widely used, and continued investigations are warranted to improve familiarity with this approach and reduce postoperative complications. Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
546			_aEnglish
650			_a*Sex Reassignment Surgery
650			_a*Thyroid Gland
650			_aEndoscopy/ae [Adverse Effects]
650			_aEndoscopy/mt [Methods]
650			_aHumans
650			_aNeck/su [Surgery]
650			_aReoperation
650			_aThyroid Gland/su [Surgery]
650			_zAutomated
651			_aMedStar Washington Hospital Center
656			_aDel Corral, Gabriel A _bMFSMC
656			_aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656			_aPlastic Surgery Residency
656			_aSurgery/Plastic Surgery
657			_aJournal Article
657			_aSystematic Review
700			_aFan, Kenneth L _bMWHC
700			_aMargulies, Ilana _bMGUH _cPlastic Surgery Residency _dMD
790			_aLi KR, Lava CX, Bautista Neughebauer ML, Hassan B, Berger LE, Ford AD, Margulies I, Liang F, Fan KL, Del Corral GA
856			_uhttps://dx.doi.org/10.1016/j.bjps.2024.01.049 _zhttps://dx.doi.org/10.1016/j.bjps.2024.01.049
942			_cART _dArticle
999			_c14320 _d14320