PURPOSE OF REVIEW This review addresses the challenges faced by transgender women in achieving congruence between gender identity and voice characteristics and emphasizes the importance of a multidisciplinary approach involving therapeutic and surgical interventions. RECENT FINDINGS Recent literature on gender-affirming vocal care emphasizes key themes such as assessment, voice feminization therapy, and various surgical techniques, including glottoplasty and its modifications. Recent publications focused on outcomes, duration, and impact on vocal quality and scrutinized complications associated with surgical interventions. SUMMARY Most publications in the last 18 months advocate for the integration of voice therapy and surgery for optimal outcomes. Utilising a combined approach is significantly more effective in terms of fundamental frequency gain compared to therapy alone. Modified Wendler's glottoplasty remains the preferred and most reliable surgical intervention. However, surgery is not without its complications and vocal trade-offs, in particular, its impact on vocal projection and the risk of long-term dysphonia. Postsurgery rehabilitation improves long-term outcomes. Recent publications on alternative surgical approaches, namely laser reduction glottoplasty and feminization laryngoplasty, show promise but the results are more difficult to generalise. FUTURE DIRECTION Prospective multicentre studies with standardized protocols are needed to establish best evidence-based practices.

中文翻译：

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当前性别肯定声音护理的方法。


综述的目的本综述讨论了跨性别女性在实现性别认同和声音特征之间的一致性方面所面临的挑战，并强调了涉及治疗和手术干预的多学科方法的重要性。最近的发现 最近关于性别肯定声音护理的文献强调了关键主题，例如评估、声音女性化治疗和各种手术技术，包括声门成形术及其修改。最近的出版物重点关注结果、持续时间和对声音质量的影响，并仔细审查与手术干预相关的并发症。摘要 过去 18 个月的大多数出版物都主张将发声治疗与手术结合起来以获得最佳结果。与单独治疗相比，使用组合方法在基频增益方面显着更有效。改良温德勒声门成形术仍然是首选且最可靠的手术干预措施。然而，手术并非没有并发症和声音权衡，特别是它对声音投射的影响和长期发声困难的风险。术后康复可改善长期结果。最近关于替代手术方法（即激光缩小声门成形术和女性化喉成形术）的出版物显示出希望，但结果更难以推广。未来方向需要采用标准化方案进行前瞻性多中心研究，以建立最佳的循证实践。