TheAdam's apple is the protrusion in the neck formed by the angle of the thyroid cartilage surrounding the larynx, typically visible in men, less frequently in women. The prominence of the Adam's apple increases in some men as a secondary male sex characteristic during puberty.[1]
The topographic structure which is externally visible and colloquially called the "Adam's apple" is caused by an anatomical structure of the thyroid cartilage called the laryngeal prominence or laryngeal protuberance protruding and forming a "bump" under the skin at the front of the throat. All human beings with a normal anatomy have a laryngeal protuberance of the thyroid cartilage. This prominence is typically larger and more externally noticeable in adult males. There are two reasons for this phenomenon. Firstly, the structural size of the thyroid cartilage in males tends to increase during puberty,[2] and the laryngeal protuberance becomes more anteriorly focused. Secondly, the larynx, which the thyroid cartilage partially envelops, increases in size in male subjects during adolescence, moving the thyroid cartilage and its laryngeal protuberance towards the front of the neck. The adolescent development of both the larynx and the thyroid cartilage in males occurs as a result of hormonal changes, especially the normal increase in testosterone production in adolescent males. In females, the laryngeal protuberance sits on the upper edge of the thyroid cartilage, and the larynx tends to be smaller in size, and so the "bump" caused by protrusion of the laryngeal protuberance is much less visible or not discernible.[3] Even so, many women display an externally visible protrusion of the thyroid cartilage, an "Adam's apple", to varying degrees which are usually minor, and this should not normally be viewed as a medical disorder.
The Adam's apple, in relation with the thyroid cartilage which forms it, helps protect the walls and the frontal part of the larynx, including the vocal cords (which are located directly behind it).[4]
Another function of the Adam's apple is related to the deepening of the voice. During adolescence, the thyroid cartilage grows together with the larynx. Consequently, the laryngeal prominence grows in size mainly in men. Together, a larger soundboard is made up in phonation apparatus and, as a result, men get a deeper voice note.[5][6]
While both men and women can possess an Adam's apple, the larger frequency of its appearance in men has led to the perception of the Adam's apple as an indicator of masculinity. As such, transgender women may choose to undergo cosmetic surgery to remove it from their necks, a process known as chondrolaryngoplasty, or colloquially as a "tracheal shave".[7] Transgender men may choose to augment and thereby enlarge the Adam's apple, a process known as masculinization.[8]
The English term "Adam's apple" is a calque of Latin pomum Adami, which is found in European medical texts from as early as 1600.[14] "Adam's Apple" is found in a 1662 English translation of Thomas Bartholin's 1651 work Anatomia.[15]
The 1662 citation includes an explanation for the origin of the phrase: a piece of forbidden fruit was supposedly embedded in the throat of Adam, who according to the Abrahamic religions was the first man:[15] .mw-parser-output .templatequoteoverflow:hidden;margin:1em 0;padding:0 32px.mw-parser-output .templatequote .templatequoteciteline-height:1.5em;text-align:left;padding-left:1.6em;margin-top:0
This etymology is also proposed by Brewer's Dictionary of Phrase and Fable and the 1913 edition of Webster's Dictionary.[16] The story is not found in the Bible or other Judeo-Christian or Islamic writings.[17]
Linguist Alexander Gode proposed in 1968 that the Latin phrase pomum Adami (literally: 'Adam's apple') was a mistranslation of the Hebrew "tappuach ha adam meaning 'male bump'".[18] The confusion was supposedly due to the fact that in the Hebrew language the proper name "Adam" (אדם) literally means "man", and the word for "apple", "tapuach", is similar to the word "tafuach" which means "swollen", thus in combination: the swelling of a man.[19][20]
An Adam's apple is so closely associated with masculine features that it's considered a secondary sex characteristic, just like having facial hair or having a deep voice. However, some females also have a visible Adam's apple.
Healthcare providers typically follow the World Professional Association for Transgender Health (WPATH) guidelines when planning surgeries and treatments. These guidelines can help you to understand what's considered the standard of care and your eligibility for various options.
A visible Adam's apple is a protrusion at the front of the neck that is traditionally associated with men. However, some women also have a prominent Adam's apple. This can occur for various reasons, including hormonal imbalances, genetics, or underlying medical conditions.
A visible Adam's apple in women is a naturally occurring variation, and should not be a source of shame or discrimination. It is important to support and empower individuals to feel confident and proud of their unique physical characteristics.
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Although male-to-female transgender patients commonly seek facial feminization surgery, facial masculinization surgery in the female-to-male transgender population is unreported in the literature. This report documents the first known female-to-male facial masculinization surgery, including a new technique for creating an "Adam's apple" to enhance the facial masculine appearance of a natal female. The authors "reversed" the methods typically used to feminize male facial features, and modified the forehead, nose, and chin to masculinize the patient's natal female facial features. The authors devised a novel technique to augment the thyroid cartilage using autologous rib cartilage to create a visible Adam's apple. Initially, masculinization of the chin was accomplished with a multisegment chin osteotomy with grafts to vertically expand and widen the chin along with correcting pronounced microgenia. Subsequently, a second facial masculinization procedure was performed to masculinize the forehead, nose, and thyroid cartilage. Rib cartilage was harvested and carved into an appropriately shaped thyroid cartilage onlay graft and then attached and integrated with the native thyroid cartilage, creating a fully mobile cartilage that translocates up and down with swallowing and a visible Adam's apple. Previously described techniques to masculinize the facial features of natal male patients were adapted to masculinize the female-to-male patient. Those procedures were combined with the novel technique to create a visually perceptible and naturally mobile Adam's apple in the female-to-male transsexual patient. Collectively, these described procedures can now provide most female-to-male transsexual patients with a satisfying transformation of their facial features.
An Adam's apple is a protuberance at the front of the throat, formed by the angle of the thyroid cartilage surrounding the larynx. It is more prominent in males, due to the larger size and shape of the male larynx. It is sometimes referred to as a "throat apple" because of its shape and structure.
The Adam's apple is a visible sign of physical maturity in males, as it appears during puberty and continues to grow until the age of about 20. It usually marks the transition from childhood to adulthood, and is an important part of the male body.
In females, the Adams apple is typically smaller and less prominent than in males. It may become more visible due to weight gain or hormone fluctuations. In some cases, the Adam's apple may become enlarged due to a medical condition, such as an enlarged thyroid gland or an underlying tumor.
There is another method called face masculinisation surgery which includes grafting cartilage to enhance the appearance of the Adam's apple. Unfortunately, this does not result in a deeper voice. Many transgender males find that testosterone is enough to deepen their voice.
Whilst there are exceptions to most rules, in general you can't develop an Adam's Apple post puberty. To the best of my knowledge genes also play a role, as well as testosterone. (it's possible to have dangly bits and no laryngeal enlargement )
Adam's apple development comes with the thickening of the vocal chords. The prominence varies by genetics though. I'm a baritone who can sometimes push into bass range, and my Adam's apple is not prominent at all. I can find it if I feel for it on my neck, so I know that it's grown significantly, but not enough to visibly stick out.
So so it's not a myth I don't think, it's just not generally something people talk about. Maybe because it's rarer or a lot of cis guys don't have noticeable Adam's apples, nor care for one enough to look into it.
You make me think of my friend. She started taking estrogen at 30, so she has definitely already gone through "male" puberty. Despite exercising her whole life, she doesn't appear to me to have gotten the full effect from "male" puberty, such as not that deep of a voice, and a not prominent Adam's apple. I've been able to see that there is a small thing in her neck, but it's not very noticeable. So unless estrogen can make an Adam's apple recede, it appears to me, cis guys or trans AMAB people who finished "male" puberty still have variation in how they develop. After all, it's a T fueled process. However, this is just my observation and someone AMAB can correct me if I'm wrong.
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