Abstract
We reported a case of gender identity disorder(GID), who was a 27 years old male to female and suffered from dysphonia after pitch-raising surgery in Southeast Asia. The vocal folds of this case were short and the fundamental frequency was 220Hz, but the voice was severely breathy. The laryngeal stroboscopy revealed the laryngeal web and the weak travelling waves of bilateral vocal folds. We began to give medicine; proton-pump-inhibitor, oral steroid, macrolides anti-biotics, etc., and then the voice was getting better slightly but the granuloma at anterior commissure was formed after catching cold. After removal of the granuloma, the anterior parts of bilateral vocal folds adhered each other and made extension of laryngeal web. We are hesitating about cutting of the laryngeal web, because that treatment may result in deterioration of pitch-raising surgery. We suppose that in the near future, with the spread of gender clinics, the cases of GID who want to change the voice will visit ENT clinic in various place of Japan.
