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1.
I also wondered if the surgery will be done at the clinic or at another hospital?, and if so which doctor will perform the procedure?
The surgery will be performed in the hospital .Professor Somyos Kunachak, MD. Chief Department of Otolaryngology Ramathibodi Hospital Mahidol University will perform the surgery.
2.
Is the procedure done under local anesthesia or general, How long do the surgery take?
The surgery will be done under general anesthesia, take 1½ - 2 hours. After the surgery you will be admitted local or for 2-3 days.
3.
IS medinces be prescribed there by your doctor?
yes all necessary medicines will be ready for you.
4.
Is there anything particular or specific I need to bring with me to Bangkok for the surgery? (any medicines etc–or perhaps I need to stay away from some specific foods, medinces etc. in beforehand?)
You should stop taking aspirin, stop smoking for 1 week before the schedule. If you are hypertensive (having high blood pressure) diabetic, or asthmatic be sure to have them controlled by your physician before considering surgery, and please bring along all your current mediations.
5.
I wondered how long the healing process will take (until I can speak again?), and does the voice change over time (as the healing takes place)?
The voice at the early stage of recovery may sound hoarse, and in a few cases may last as long as a few mouths.
6.
Is there a chance the voice will stay hoarse forever? and how much hz or raise of the voice can I expect?
Horarseness is always temporary. Most of the patients gain more than 80 Hz . The most important long-lasting benefit is to loss the male tone toward female vocal tone.
7.
Were any formant measurements made before or after surgery. Acoustic analysis will be made pre and postoperative by,
most of the patients gain more than 80 Hz . The most important long-lasting benefit is to loss the male tone toward female vocal tone.
8.
Were any tests of the frequency ranges of the voices made comparingbefore-surgery and after-surgery values and. If so, what were those values?
The frequency ranges of voice slightly diminish in some case.
9.
Have any more procedures been performed beyond the original reported patients and, if so, what were the results?
We still perform the procedure regularly. Most of the subsequent patients were recommended by their friends who had the surgery done.
10.
Please send me information regarding how I might obtain this surgery.
To obtain the surgery in Thailand, you need 9 days of stay in Bangkok including initial laboratory work-up 2 days of hospitalization and 1 week for recovery. Your further inquiries are welcomed
11.
I have read your paper "Thyroid Cartilage And Vocal Fold Reduction: A New Phonosurgical Method For Male-To-Female Transsexuals" and I notice that the oldest patient was 27 years old. As I am 50 years old, I am concerned that ossification of the thyroid cartilage will make re-section difficult. Have you operated on anyone my age?
It is true that calcification is more at this age but this is less a problem. The concern is more on the healing of cartilage which take a longer time. The result may be is some case less favorable compare to those in younger age group due to the preexisting or subsequent bowing of vocal fold which is common in the elderly.
12.
As travel is expensive I wonder if it would be possible to arrange a consultation, and then if everything is alright, to continue straight away with the operation. I am also a little concerned about "after care". Would I need to return to Bangkok at any time after the operation?
Once you confirm the personal consultation date it become possible to schedule the date of operation straight away on the following day. The recovery usually take 1-2 weeks, that is the period you should remain in Bangkok. There after you need not to come back unless the voice remain hoarse for more than 4 months after surgery, then you may have to come back for some surgical adjustment, this is uncommon however.
13.
About the payment, can this be done by a VISA card at the clinic?
Yes, you can pay by VISA card.
14.
What is the approximate cost for transporation
The cost for trasporation from airport to hotel is 800 ($20)per one way, for the local taxi is only $5-6
15.
Is there a hotel near by?
Yes there are several hotels, 2-5 star located a few minute – walk from our clinic.
FAQ Manager
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