Citation

Morrison SD, Kolnik SM, Massie JP, Crowe CS, Dugi D, Friedrich JB, Pham TN, Berli JU, O'Keefe GE, Bulger EM, Maier RV, Mandell SP. J. Trauma Acute Care Surg. 2018; 85(4): 799-809.

Affiliation

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Washington School of Medicine, Seattle, Washington (S.D.M., C.S.C., J.B.F.), Division of Trauma, Critical Care, and Burn, Department of Surgery, University of Washington School of Medicine, Seattle, Washington (S.M.K., T.N.P., G.E.O., E.M.B., R.V.M., S.P.M.); Division of Plastic Surgery, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (J.P.M.); Department of Urology, Oregon Health & Sciences University, Portland, Oregon (D.D.), and Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health & Sciences University, Portland, Oregon (J.U.B.).

Copyright

(Copyright © 2018, Lippincott Williams and Wilkins)

DOI

10.1097/TA.0000000000001859

PMID

30256770

Abstract

Gender dysphoria, or the distress caused by the incongruence between a person's assigned and experienced gender, can lead to significant psychosocial sequelae and increased risk of suicide (>40% of this population) and assault (>60% of this population). With an estimated 25 million transgender individuals worldwide and increased access to care for the transgender population, trauma surgeons are more likely to care for patients who completed or are in the process of medical gender transition. As transgender health is rarely taught in medical education, knowledge of the unique health care needs and possible alterations in anatomy is critical to appropriately and optimally treat transgender trauma victims. Considerations of cross-gender hormones and alterations of the craniofacial, laryngeal, chest, and genital systems are offered in this review. Further research on the optimal treatment mechanisms for transgender patients is needed.

Language: en