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Tracheal Shave Surgery - Procedure, Duration, and Side Effects

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Tracheal shave surgery refers to the reduction of Adam’s apple. Read the article to know more.

Medically reviewed byDr. Shivpal Saini

Published At July 25, 2024
Reviewed AtJuly 25, 2024

Introduction

Tracheal shave surgery is also known as chondrolaryngoplasty or thyroid cartilage reduction. It is a type of facial feminization surgery. Tracheal shave surgery is performed in trans women (a person who identifies as women even after birth in male gender) or non-binary trans people (a person who does not identify as male or female) for a more feminine appearance. The surgery is basically done to reduce the size of Adam’s apple. The Adam’s apple is the outgrowth of the larynx gland, which is more prominent in the male. The prominent growth of the larynx gland usually appears in the male, and it has a role in deepening the voice of the male. Tracheal surgery is not risky but expensive, with possible side effects. Tracheal shave surgery is an important surgery for people who undergo the transition from male to female. This article will cover the outcomes, procedure, and side effects of tracheal shave surgery.

What Is Tracheal Shave Surgery?

The surgical procedure which is performed to reduce the size of Adam’s apple is called tracheal shave surgery. This surgery is an outpatient procedure. It is also known by other names, such as chondrolaryngoplasty or thyroid cartilage reduction. Tracheal shave surgery is full gender transformation surgery. It is possible that patients may not be fully satisfied with the results and may also suffer from some side effects. Tracheal shave surgery is performed along with chin and jaw reduction, lip and cheek augmentation, and forehead contouring. All these procedures are performed for the transition of males into females. The success of tracheal shave surgery depends upon patient selection and the procedure of surgery. The collaborative approach ensures optimal healing, minimizes potential complications, and facilitates the attainment of desired aesthetic and functional results. As advancements in medical technology and surgical methodologies continue to evolve, the landscape of tracheal shave surgery is expected to witness further refinement and innovation. Therefore, individuals considering this procedure should remain informed about emerging techniques, research findings, and best practices, empowering them to make informed decisions that align with their unique needs and aspirations.

What Is Adam’s Apple?

Adam’s apple is a secondary sex characteristic of the male. It has a role in the deepening and hoarsening of the voice of the males. It is sometimes present in women (rarely). The throat is covered with thyroid cartilage, which is apple-shaped and presents as a bump in the throat. Men have larger Adam’s apples than women. Boys got bumps in their throats during adolescence as their secondary sex characteristics. The growth of Adam’s apple in men is due to the male sex hormone (testosterone). The removal of Adam’s apple gives a feminine look.

How Is Tracheal Shave Performed?

The procedure is performed under general anesthesia or local anesthesia to reduce the size of Adam’s apple. The surgery takes a few hours to complete. It does not need hospitalization. Before surgery, the patient has to undergo a few laboratory tests such as blood tests (complete blood count) and electrocardiograms so as to ensure any pre-condition (diseases) of the patient before surgery. If the patient is taking aspirin (blood thinning medicine), then doctors may ask to stop aspirin for three days before surgery.

The following are the steps by which tracheal shave surgery is performed:

  • The surgery is performed under general anesthesia or local anesthesia in the hospital.

  • The surgeon made an incision in the neck, and then the overgrowth of the cartilage was scrapped off to reduce the size. It generally depends on the surgeons, but it can be done through minor incisions.

  • The camera is inserted through an incision to visualize the cartilage properly.

  • The overgrowth of cartilage is removed, ensuring the safety of vocal cords.

  • The incision is closed with a suture once shaving off the cartilage is completed.

  • The patient can be discharged from the hospital after a few hours of the surgery. The patient is suggested to take rest for two days after the surgery. After surgery, speaking loudly or singing loudly is avoided.

  • Patients are suggested to take a soft diet or liquid diet until the throat properly heals and the patient does not have any difficulty swallowing the food.

  • After a few days of the surgery, the suture is removed.

What Are the Side-effects of Tracheal Shave Surgery?

The surgery should be performed by experienced surgeons to avoid damage to vocal cords. Damage to vocal cords can cause permanent damage to the voice. The prominent scars can be one of the most common side effects of the surgery. It can be due to the formation of fibrous tissue at the site of the surgery. The scars should be avoided for aesthetic reasons. The surgery should be performed under a proper anesthesiologist to ensure a painless process.

The following are the side effects of tracheal shave surgery:

  • Mild pain in the throat.

  • Swelling at the site of the surgery.

  • Infection at the site of surgery.

  • Sore throat.

  • Difficulty in swallowing the food.

  • Difficulty in speaking.

  • Low voice.

  • Bruising at the site of the surgery.

  • Itching at the site of the surgery.

  • Fever.

  • Chest pain.

  • Shortness of the breath.

How Long Tracheal Shave Surgery Takes to Heal?

Generally, tracheal shave surgery takes two weeks to heal. The patient may have trouble in the throat for some days, like swelling and bruising, but it can be relieved by ice packs and proper rest. The patient is suggested to speak less and take painkillers. Soft foods can be easily eaten by patients. After suture removal, scars may persist for several weeks.

Conclusion

Tracheal shave surgery is used to reduce Adam's apple. It is permanent surgery, and Adam’s apple does not grow back as it is cartilage, which is being shaved off during the surgery. The success of tracheal shave surgery is intricately linked to factors such as patient selection, surgical technique proficiency, and post-operative care. It remains crucial for individuals to prioritize open communication with their healthcare providers, adhere to recommended post-operative guidelines, and attend follow-up appointments diligently. In summary, travel shave surgery offers a viable solution for addressing specific skin concerns and fostering enhanced confidence and well-being for many individuals. By prioritizing informed decision-making, expert consultation, and diligent post-operative care, patients can navigate their surgical journey with confidence, ultimately reaping the benefits of improved skin health and aesthetics.

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