1.Application of Chondrolaryngoplasty in female patients and transgenders (male to female)
Bai-Cheng WANG ; Hengru LIN ; Bai-Lin PAN ; Guang HAO ; Yan LONG
Chinese Journal of Plastic Surgery 2021;37(8):953-957
Objective:To investigate the similarities and differences of chondrolaryngoplasty between female and transgender women.Methods:We enrolled 23 patients with chondrolaryngoplasty in Peking University Third Hospital from March 2016 to September 2019, with age from 18- 37 y/o (average at 26. 87±5. 54 y/o) ; employing eleven-point Likert scale to conduct an average 14mths follow-up. We assigned patients into female (n=11) and transgender women(n=12) groups, using SPSS 22. 0 tool to process and analyze data. Paired sample t test is conducted to compare pre- and postoperative differences, while independent sample t test is to compare between groups; p value less than 0. 05 is considered to have statistical significance.Results:Satisfaction with surgery is 95. 65% (22/23 patients) ; satisfaction with appearance of laryngeal prominence is 82. 61% (19/23 patients ). After operation, the Self-Estimate Laryngeal Prominence Score improves from 6. 57±2. 45 to 2. 22±2. 09; the Social Ability Restriction Score improves from 6. 30±3. 02 to 1. 52±2. 54; the Phycological Burden Score decrease from 7. 70±2. 44 to 1. 83±2. 62; all data have statistical significances ( P<0. 01). The improvement of previous two scores is greater in transgender women group with statistical significances ( P< 0. 05). Conclusions:Chondrolaryngoplasty can remarkably improve the appearance of laryngeal prominence of patients; Transgenders women can obtain better social and phycological improvement than female patients after chondrolaryngoplasty.
2.Application of Chondrolaryngoplasty in female patients and transgenders (male to female)
Bai-Cheng WANG ; Hengru LIN ; Bai-Lin PAN ; Guang HAO ; Yan LONG
Chinese Journal of Plastic Surgery 2021;37(8):953-957
Objective:To investigate the similarities and differences of chondrolaryngoplasty between female and transgender women.Methods:We enrolled 23 patients with chondrolaryngoplasty in Peking University Third Hospital from March 2016 to September 2019, with age from 18- 37 y/o (average at 26. 87±5. 54 y/o) ; employing eleven-point Likert scale to conduct an average 14mths follow-up. We assigned patients into female (n=11) and transgender women(n=12) groups, using SPSS 22. 0 tool to process and analyze data. Paired sample t test is conducted to compare pre- and postoperative differences, while independent sample t test is to compare between groups; p value less than 0. 05 is considered to have statistical significance.Results:Satisfaction with surgery is 95. 65% (22/23 patients) ; satisfaction with appearance of laryngeal prominence is 82. 61% (19/23 patients ). After operation, the Self-Estimate Laryngeal Prominence Score improves from 6. 57±2. 45 to 2. 22±2. 09; the Social Ability Restriction Score improves from 6. 30±3. 02 to 1. 52±2. 54; the Phycological Burden Score decrease from 7. 70±2. 44 to 1. 83±2. 62; all data have statistical significances ( P<0. 01). The improvement of previous two scores is greater in transgender women group with statistical significances ( P< 0. 05). Conclusions:Chondrolaryngoplasty can remarkably improve the appearance of laryngeal prominence of patients; Transgenders women can obtain better social and phycological improvement than female patients after chondrolaryngoplasty.
3.Application of chondrolaryngoplasty in female patients and transgenders (male-to-female)
Baicheng WANG ; Hengru LIN ; Bailin PAN ; Guang HAO ; Yan LONG
Chinese Journal of Plastic Surgery 2021;37(11):1260-1264
Objective:To investigate the similarities and differences of chondrolaryngoplasty between female and male-to-female transgender patients.Methods:A retrospective analysis focused on the case with chondrolaryngoplasty in Peking University Third Hospital from March 2016 to September 2019.Patients were followed up an average 14mths with an eleven-point Likert scale. We assigned patients into a female ( n=11) and transgender women( n=12) groups, using SPSS 22.0 tool to process and analyze data. The paired sample t test is conducted to compare pre-and postoperative differences, while independent sample t test is to compare between groups; a P-value less than 0.05 is considered to have statistical significance. Results:A total of 23 patients were enrolled, including 11 female patients and 12 transgender patients, aged 18 to 37 years old (mean 26.87±5.54 years old). Satisfaction with surgery is 95.65% (22/23 patients), satisfaction with the appearance of laryngeal prominence is 82.61% (19/23 patients). After the operation, the Self-Estimate Laryngeal Prominence Score improves from 6.57±2.45 to 2.22±2.09, the Social Ability Restriction Score improves from 6.30±3.02 to 1.52±2.54, the Phycological Burden Score decrease from 7.70±2.44 to 1.83±2.62, all data have statistical significances ( P<0.01). The improvement value of the previous two scores is greater than the transgender women group with statistical significances ( P<0.05). Conclusions:Chondrolaryngoplasty can remarkably improve the appearance of laryngeal prominence of patients. Transgenders women can obtain better social and phycological improvement than female patients after chondrolaryngoplasty.
4.Application of chondrolaryngoplasty in female patients and transgenders (male-to-female)
Baicheng WANG ; Hengru LIN ; Bailin PAN ; Guang HAO ; Yan LONG
Chinese Journal of Plastic Surgery 2021;37(11):1260-1264
Objective:To investigate the similarities and differences of chondrolaryngoplasty between female and male-to-female transgender patients.Methods:A retrospective analysis focused on the case with chondrolaryngoplasty in Peking University Third Hospital from March 2016 to September 2019.Patients were followed up an average 14mths with an eleven-point Likert scale. We assigned patients into a female ( n=11) and transgender women( n=12) groups, using SPSS 22.0 tool to process and analyze data. The paired sample t test is conducted to compare pre-and postoperative differences, while independent sample t test is to compare between groups; a P-value less than 0.05 is considered to have statistical significance. Results:A total of 23 patients were enrolled, including 11 female patients and 12 transgender patients, aged 18 to 37 years old (mean 26.87±5.54 years old). Satisfaction with surgery is 95.65% (22/23 patients), satisfaction with the appearance of laryngeal prominence is 82.61% (19/23 patients). After the operation, the Self-Estimate Laryngeal Prominence Score improves from 6.57±2.45 to 2.22±2.09, the Social Ability Restriction Score improves from 6.30±3.02 to 1.52±2.54, the Phycological Burden Score decrease from 7.70±2.44 to 1.83±2.62, all data have statistical significances ( P<0.01). The improvement value of the previous two scores is greater than the transgender women group with statistical significances ( P<0.05). Conclusions:Chondrolaryngoplasty can remarkably improve the appearance of laryngeal prominence of patients. Transgenders women can obtain better social and phycological improvement than female patients after chondrolaryngoplasty.
5.Application of double V-Y advancement of mucosal flap procedure for lower-lip paramedian tubercles plasty
Siqiao WU ; Yan LONG ; Hengru LIN ; Jing CHEN ; Guang HAO ; Pei CAO ; Bailin PAN
Chinese Journal of Medical Aesthetics and Cosmetology 2021;27(3):173-176
Objective:To prove the effect of double V-Y procedure for paramedian tubercles plasty in patients with thin lower lips and dissatisfied appearance of lower lips.Methods:From 2013 to 2019, 127 Chinese cases of thin and dissatisfied appearance of lower lips were included. A double V-Y procedure for paramedian tubercles plasty was performed. Objective data of lip morphology before and after operation were measured, and subjective satisfaction survey and long-term follow-up were conducted.Results:The midline lower red lip height, the height of paramedian tubercles of lower-lip and the protrusion of lower-lip were significantly higher than that before the operation. The time of apocatastasis, scar softening of incision, natural expression recovery and local numbness relief were evaluated by following up at 7 d, and 3-24 months after operation, and it showed 73.2% of subjective satisfaction. The time of detumescence was 6-32 (15.2±3.5) days; the time of incision scar softening was 2-10 (5.1±2.3) months; the time of expression recovery was 1-7 (3.1±0.9) months; the time of numbness disappearance was 5 d-2 years (158.2±82.6) days.Conclusions:The double V-Y advancement of vermilion mucosa flap procedure for paramedian tubercles plasty displays a significant effect in improving volume and shape of lower lips. It is recommended for further clinical application.
6.Application of reductional M-shaped plasty in upper lip aesthetic improvement
Siqiao WU ; Yan LONG ; Hengru LIN ; Jing CHEN ; Guang HAO ; Pei CAO ; Huan MENG ; Bailin PAN
Chinese Journal of Medical Aesthetics and Cosmetology 2021;27(3):177-180
Objective:To observe and evaluate reductional M-shaped plasty method in patients with thick lips and dissatisfied lip appearance.Methods:From 2013 to 2019, 415 Chinese cases of thick upperlip without clear vermilion curve and tubercle were included. A reduction method for upper lip M-shaped plasty was performed. Objective data of lip morphology before and after operation were measured, and subjective satisfaction survey and long-term follow-up were conducted.Results:According to the statistics of 415 patients, the time of detumescence was 3-21 (11.8±2.6) days; the time of incision scar softening was 1-24 (2.6±0.8) months; the time of expression recovery was 1-24 (3.1±1.4) months; the time of numbness disappearance was 1-2 years. Three months after the operation, there was no significant change in the height of the central part of the upper red lip compared with that before the operation, the height of the red lip at the peak of the lip was significantly reduced, the height of the red lip was (13.3±2.2) mm before the operation, and (11.4±1.7) mm after the operation; the relative height of the dome point was significantly increased, the height was (0.4±1.0) mm before the operation, and the height was (2.1±0.5) mm after the operation. After more than 6 months of follow-up, patients' satisfaction rate of one operation was 72.0%, the satisfactory rate of upper lip shape was 75.4%, the long-term complications included obvious scars or discomfort (3.6%), local numbness (1.7%), and unnatural expression (0.7%).Conclusions:The reduction method for upper lip M-shaped plasty displays a significant effect in improving the shape of upper vermilion with thick and normal lips. The complications are slight and repairable. This lip cosmetology and rejuvenation procedure is recommended for further clinical application.