Phonosurgery pp 141-155 | Cite as

Surgery to Elevate Vocal Pitch

  • Nobuhiko Isshiki


Excessively low vocal pitch found in women is assoicated frequently with the side effects of hormonal drugs, such as anabolic or male hormones, and less frequently with hormonal diseases, such as adrenogenital syndrome, Addison’s disease, my oedema, and acromegaly. It is often referred to as androphonia. It can also be caused by reduced activity of the cricothyroid muscle or, less significantly though, of the strap muscle. It the pitch is too low and the patient wants it corrected, surgery may be indicated. Transsexuals often desire raising of their vocal pitch. Before deciding whether surgery is indicated, complete understanding and consensus are necessary between the patient and the surgeon regarding the probable outcome of surgery.


Vocal Cord Anterior Commissure Thyroid Cartilage Cricoid Cartilage Cricothyroid Muscle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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19. Surgery to Elevate Vocal Pitch, Laryngeal Asymmetry (see also 18. Surgery to Lower Vocal Pitch)

  1. Andrews AH, Moss HW (1974) Experiences with the carbon dioxide laser in the larynx. Ann Otol Rhinol. Laryngol 83: 462–470.PubMedGoogle Scholar
  2. Arnold GE (1961) Physiology and pathology of the cricothyroid muscle. Laryngoscope 71: 687–753PubMedCrossRefGoogle Scholar
  3. Baldus S (1963) Die klinische Bedeutung des Stimmritzenschief Standes. HNO 11: 161–162PubMedGoogle Scholar
  4. Bauer H (1968) Die Beziehungen der Phoniatrie zur Endokrinologie. Folia Phoniatr 20: 387–393CrossRefGoogle Scholar
  5. Berendes J (1968) Die Verantwortlichkeit des Arztes bei der Anwendung anaboler Steroide im Hinblick auf die Stimme. Folia Phoniatr 20: 379–386CrossRefGoogle Scholar
  6. Beyer TE (1941) Traumatic paralysis of the cricothyroid muscle. Laryngoscope 51: 296–298CrossRefGoogle Scholar
  7. Böhme G (1968) Intersexualität und Stimme. Folia Phoniatr 20: 417–427CrossRefGoogle Scholar
  8. Brodnitz FS (1971) Vocal rehabilitation. Am Acad Ophthalmol OtolaryngolGoogle Scholar
  9. Faaborg-Andersen K, Munk Jensen A (1963) Unilateral paralysis of the superior laryngeal nerve. Acta Otolaryngol 57: 155–159CrossRefGoogle Scholar
  10. Fritzell B, Sundberg J, Strange-Ebbesen A (1982) Pitch change after stripping oedema-tous vocal folds. Folia Phoniatr 34: 29–32CrossRefGoogle Scholar
  11. Gould WJ, van Lawrence L, (1984) Surgical care of voice disorders. Springer, Wien New YorkCrossRefGoogle Scholar
  12. Gregg R (1956) Experimental laryngeal paralysis. Ann Otol Rhinol Laryngol 65: 639–642PubMedGoogle Scholar
  13. Heinemann M (1969) Die Bedeutung der Asymmetrien des Kehlkopfes für die Belastbarkeit der Stimme. Z Laryng Rhinol Otol 48: 571–580PubMedGoogle Scholar
  14. Heinemann M (1974) Kehlkopf-und Stimmbefunde beim kongenitalen adrenogenitalen Syndrom mit Nebennierenrindenhyperplasie. Folia Phoniatr 26: 450–460CrossRefGoogle Scholar
  15. Hirano M, Ohala J, Vennard W (1969) The fucntion of laryngeal muscles in regulating fundamental frequency and intensity of phonation. J Speech Hear Res 12: 616–628PubMedGoogle Scholar
  16. Hirano M, Vennard W, Ohala J (1970) Regulation of registers, pitch and intensity of voice. An electromyographic investigation of intrinsic laryngeal muscles. Folia Phoniatr 22: 1–20CrossRefGoogle Scholar
  17. Hirano M (1975) Phonosurgery. Otologia (Fukuoka) 21 [suppl 1]: 239–442 (in Japanese)Google Scholar
  18. Hirano M, Shin T, Morio M, Kasuya T, Kobayashi S (1976) An improvement in surgical treatment for polypoid vocal cord—sucking technique. Otologia (Fukuoka) 22: 583–589Google Scholar
  19. Hofer G, Jeschek J (1940) Die Lähmung des nervus recurrens beim Menschen. Arch Ohr Nas Kehlk-heilk 45: 401–417Google Scholar
  20. Hofer G (1944) Zur motorischen Innervation des menschlichen Kehlkopfes. Z Ges Neurol Psychiat 177: 783–796Google Scholar
  21. Hofer G (1953) Untersuchungen bei Lähmung der Motorischen Kehlkopf nerven. Acta Otolaryngol 43: 100–107PubMedCrossRefGoogle Scholar
  22. Imre V(1968) Hormonell bedingte Stimmstörungen. Folia Phoniat 20: 394–404PubMedCrossRefGoogle Scholar
  23. Jako GJ (1972) Laser surgery of the vocal cords. Laryngoscope 82: 2204–2216PubMedCrossRefGoogle Scholar
  24. Kitajima K, Tanabe M, Isshiki N (1979) Cricothyroid distance and vocal pitch: experimental surgical study to elevate the vocal pitch. Ann Otol Rhinol Laryngol 88: 52–55PubMedGoogle Scholar
  25. Kokawa N (1977) A new surgical procedure for dysphonia due to androgenic or anabolic hormones. J Jap Bronchoesophlagol Soc 28: 323–332CrossRefGoogle Scholar
  26. Lacina O (1970) Die adduktionelle Asymmetrie des Kehlkopfes bei den Sängern. Folia Phoniatr. 22: 100–106CrossRefGoogle Scholar
  27. Lee SY, Liao TT, Hsieh T (1986) Extralaryngeal approach in functional phonosurgery. In: Proceedings of 20th Congress of I ALP. Tokyo, pp 482–483Google Scholar
  28. Le Jeune FE Jr, Guice CE, Samuels PM (1983) Early experiences with vocal ligament tightening. Ann Otol Rhinol Laryngol 92: 475–477Google Scholar
  29. Le Jeune FE Jr (1987) Vocal ligament (update). Ann Otol Rhinol Laryngol 96: 597–600Google Scholar
  30. Luchsinger R (1942) Die periphere isolierte Lähmung des N. laryngeus superior. Arch Ohr Nas Kehlk-heilk 151: 393–401CrossRefGoogle Scholar
  31. Luchsinger R (1965) Beitrag zur Diagnostik (Elektromyographie) isolierter peripherer Lähmungen des N. laryngeus cranialis. Folia Phoniatr 17: 105–114CrossRefGoogle Scholar
  32. Mihashi S (1976) Immediate effects of CO2 laser irradiation on soft tissue. Jap J Otorhinolar (Tokyo) 79: 19–24 (in Japanese)Google Scholar
  33. Mihashi S, Jako GJ, Incze J, Strong MS, Vaughan CW (1976) Laser surgery in otolaryngology: interaction of C02 laser and soft tissue. Ann NY Acad Sei 267: 263–294CrossRefGoogle Scholar
  34. Murakami Y (1987) Idiopathic laryngeal deviation. J Jpn Bronchoesophagol Soc 38: 106–113CrossRefGoogle Scholar
  35. Mygind H (1906) Die Paralyse des Musculus cricothyreoideus. Arch Laryngol 18: 403–418Google Scholar
  36. Neumayer H (1896) Untersuchungen über die Funktion der Kehlkopfmuskeln. Arch Laryng Rhinol Otol 4: 323–371Google Scholar
  37. Pahn J, Rother U (1981) Röntgenologische Untersuchungsmethode der Nervus-laryngeus-superior-Parese. Folia Phoniatr 33: 15–22CrossRefGoogle Scholar
  38. Polanyi TG, Bredemeier HC, Davis TW (1970) A C02 laser for surgical research. Med Biol Engng 8: 541–548CrossRefGoogle Scholar
  39. Saito S (1977) Phonosurgery Otologia (Fukuoka) 23 [Suppl 1]: 171–384 (in Japanese)Google Scholar
  40. Sonninen A, Vaheri E (1958) A case of voice disorder due to laryngeal asymmetry and treated by surgical mediposition of the vocal cords. Folia Phoniatr 10: 57–69CrossRefGoogle Scholar
  41. Strong MS, Jako GJ (1972) Laser surgery in the larynx. Ann Otol Rhinol Laryngol 81: 791–798PubMedGoogle Scholar
  42. Stupka W (1924) Experimentelle Beiträge zur Kenntnis der Atembewegungen des Hundekehlkopfes. Z Hals usw Heilk 9: 306–372Google Scholar
  43. Tanabe M, Isshiki N, Kitajima K (1972) Vibratory pattern of the vocal cord in unilateral paralysis of the cricothyroid muscule. Acta Otolaryngol 74: 339–345PubMedCrossRefGoogle Scholar
  44. Tanabe M, Haji T, Honjo I, Isshiki N (1985) Surgical treatment for androphonia (an experimental study). Folia Phoniatr 37: 15–21CrossRefGoogle Scholar
  45. Tschiassny K (1944) Studies concerning the action of the musculus cricothyreoideus. Laryngoscope 54: 589–604CrossRefGoogle Scholar
  46. Tucker HM (1985) Anterior commissure laryngoplasty for adjustment of vocal fold tension. Ann Otol Rhinol Laryngol 94: 547–549PubMedGoogle Scholar

Copyright information

© Springer Japan 1989

Authors and Affiliations

  • Nobuhiko Isshiki
    • 1
  1. 1.Department of Plastic Surgery, School of MedicineKyoto UniversityJapan

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