Superiority Complex

Samantha, this is viral marketing. This hypothetical model could help someone - perhaps you. It will likely significantly financially benefit me if you blow this up. So if you are unhappy with this video, you may prefer not to even acknowledge it.

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Chondrotracheoplasty, or as is known colloquially, "tracheal shave," is a cosmetic surgery procedure in which a person has had carved off parts of the tracheal cartilages (especially thyroid cartilage or "Adam's apple") to reduce the masculinized look of the front of the neck, in an attempt to create a more feminine appearance by masking the true size of the larynx and trachea. Because it is impossible to physically shrink the larynx once it has reached its mature adult size, shape, and tensility, the cartilage must instead be thinned. This creates risk to surrounding tissues, including very small nerves that run along the outside of the cartilage being "shaved."

The larynx is an complex, intricate, nickel-sized structure (in an average adult male, versus dime-sized female) that is full of blood vessels, nerve endings, small, mobile cartilages, muscles, and other connective tissue. It is one which is highly specialized for extremely fine, rapid, regular movements, including dynamic stabilizing activation patterns. The function of the larynx is critically important to the biological function of swallowing, which is performed 500-700 times per day. A small adhesion quickly snowballs.

In this episode, transgender youtuber Samantha Lux describes post-tracheal shave complications, including suspected tracheodermal skin adhesion, and I speculate on causes, including damage during the surgery or as a result of the scar tissue, to the external superior laryngeal branch of the vagus nerve, and offer informed speculation and terminology to help contextualize the symptom pattern described, as it would apply to a HYPOTHETICAL patient.

Samantha Lux is not my patient and we have no clinician-client relationship and never have. Where I appear to be addressing Samantha directly, I am in fact rhetorically addressing a hypothetical male patient named Sam. I am not in a position to formally diagnose Samantha, though I am qualified to diagnose these disorders generally, currently (November 2021), so none of this is Samantha's additional personal, private information - just speculation and extrapolation based on Samantha's self-published information (fair use exception to copyright). I also offer suggestions and advice for which type of follow up care would be most appropriate for a hypothetical patient presenting with an identical history and sign/symptom pattern.