
| Operation | VFS AAS | Cricothyroidopexy | Thyroid Cartilage and Vocal Fold Reduction |
| Principle of making high pitch | Shortening of vocal fold |
Tension of vocal fold |
Removal of partial vocal fold and larynx |
| Surgical procedure | Suture of vocal fold membrane |
Pulling the thyroid and cricoids cartilage, and fix them |
Removal of thyroid cartilage and vocal fold |
| Skin incision | No |
Yes |
Yes |
| Hemorrhage | No |
Yes |
Yes |
| Anesthesia | General |
General |
General |
| Voice quality | Natural voice |
Falsetto |
- |
| Singing | Possible in female voice range |
Impossible |
High Falsetto |
| Complications | None |
Inflammation, Unstable increase of pitch |
Limited |
| Misc. | Pitch range is controllable |
Frequent re-operation |
Inflammation, Granuloma, Excessive changes of voice color, Unnatural voice |