Bibliographic record
Abstract
Endoscopic verification of the level of excision of the thyroid cartilage in reduction laryngochondroplasty maximizes the aesthetic result of the operation and prevents possible injury to the vocal cords. A prominent thyroid cartilage is identified with male sex. Reduction of the thyroid cartilage prominence (Adam's apple), also known as laryngochondroplasty, is often requested by patients undergoing male-to-female transsexual surgery. Some women, and even occasional slender men, with a markedly pronounced thyroid cartilage prominence also request this treatment to refine their neck contour. Topographic studies place the true vocal cords at a level corresponding to halfway up the thyroid cartilage. Because of the proximity of the thyroid cartilage prominence to the attachment of the true vocal cords, any anatomic variation may lead to injury to the phonatory apparatus during the cartilage excision. Attempts to avoid this occurrence may result in overconservative reduction of the thyroid prominence and less-than-optimal aesthetic results. Herein we describe a combined endoscopic and external surgical approach to reduction laryngochondroplasty.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".