A prominent “Adam’s Apple” is a secondary sex characteristic and is immediately interpreted as a masculine feature so it is not surprising that transwomen feel very embarrassed by a visible laryngeal eminence ( Adam’s Apple).
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This is a frontal view of the thyroid cartilage which houses and protects the vocal cords. The thyroid cartilage has a prominence which is usually referred to as the “Adam’s Apple” and is larger in the female. The anatomical term for this is the laryngeal eminence.
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This lateral view of the thyroid cartilage demonstrates the laryngeal eminence, which can be reduced in size through a small 2-centimetre skin incision, taking care not to damage the vocal cords.
Tracheal shave can be carried out with a local anaesthetic with or without sedation or with a general anaesthetic.