The thyroid cartilage is commonly known as the adam’s apple. It is typically larger and more prominent in those born male as the angle between the ala of the cartilage is more acute. Many of those seeking gender affirming care inquire as to reducing the size of the adam’s apple. This goes by many names, including thyroid cartilage reduction, tracheal shave, and chondrolaryngoplasty, and may be performed by a facial plastic surgeon or a laryngologist. This is a relatively simple procedure whereby a small incision is made on the neck and the upper aspect of the thyroid ala removed on both sides. The procedure is typically outpatient, meaning patients go home the same day. When performed correctly, this procedure does not alter the pitch of the voice; for that one needs a separate procedure.
Mark S. Courey, MD Chief, Division of Laryngology Director, Grabscheid Voice and Swallowing Center of Mount Sinai Vice Chair of Quality, Department of Otolaryngology Mount Sinai Health System
Diana N. Kirke, MD Assistant Professor, Otolaryngology, Head and Neck Surgery The Mount Sinai Hospital
Matthew C. Mori, MD Assistant Professor, Otolaryngology New York Eye & Ear Infirmary of Mount Sinai
Joshua Rosenberg, MD Co-Chief, Division of Facial Plastic and Reconstructive Surgery Mount Sinai Health System Assistant Professor Icahn School of Medicine at Mount Sinai
Mingyang L. Gray, MD Assistant Professor, Otolaryngology Mount Sinai Health System
Noah B. Sands, MD Assistant Professor, Otolaryngology Mount Sinai West
Zachary G. Schwam, MD Assistant Professor, Department of Otolaryngology-Head and Neck Surgery Division of Otology-Neurotology, Lateral Skull Base Surgery Mount Sinai Health System
