Vocal Cord Masses & Paralysis

Vocal Chord Masses

Nodules grow like calluses on the vocal folds following vocally abusive behaviors. Nodules can cause hoarseness, breathiness, loss of range and vocal fatigue. Nodules are almost always treated without surgical intervention. Voice therapy is the most common form of treatment and is effective in most patients. Correct diagnosis is essential as nodules are often mistaken for other kinds of lesions on the vocal cords, but treatment is different depending on the condition.

Polyps are most often found in the middle of the vocal fold and are usually caused by severe vocal trauma, such as yelling loudly, chronic voice abuse, vocal cord hemorrhage or chronic cough. These benign masses usually only develop on one vocal fold and are typically superficial. Polyps often resolve with conservative therapy but sometimes require surgery.

Cysts are benign, fluid-filled masses that may form on the vocal folds. They are usually non-cancerous, occurring as a result of severe vocal trauma, such as yelling loudly, chronic voice abuse, vocal cord hemorrhage or chronic cough. Cysts are often removed with microlaryngoscopy with a microflap excision.  Pseudocysts, or retention cysts, are superficial lesions filled with mucus.

Vascular lesions are masses in the vocal folds due to abnormal blood vessels. Vascular lesions cause hoarseness, inflammation, polyp or scarring. They are treated voice therapy, medication, laser photoablation and/or microlaryngeal surgery, depending upon the condition.

Vocal Chord Paralysis

Vocal cord paralysis results from a malfunction in one or both of the vocal cords. When a vocal cord does not open or close properly, the airway is left open, which can allow food or liquids to slip through. This common condition causes difficulty swallowing or breathing, as well as coughing, and often occurs after neck or throat surgery.

The cause of vocal cord paralysis is often not known, but some patients may develop this condition as a result of:

  • Inflammation
  • Neck or chest injury
  • Stroke
  • Tumors
  • Viral infection
  • Vocal cord injury

Paralysis can cause a hoarse, breathy or weak voice, coughing, difficulty breathing and difficulty speaking loudly. If both vocal cords are affected, symptoms may be severe.

Vocal cord paralysis is often diagnosed with a physical examination and a series of diagnostic tests such as an endoscopy, laryngeal or blood tests. Treatment for vocal cord paralysis ranges from voice therapy or surgery.

Los Angeles Center for Ear, Nose, Throat and Allergy

Otolaryngology located in Los Angeles, CA & Glendale, CA

The Los Angeles Center for Ear, Nose, Throat and Allergy boasts a team of dedicated healthcare professionals that is second to none, where physicians and support staff work tirelessly to provide patients with the highest possible level of care. Dr. Geoffrey B. Trenkle is a Southern California native who began his medical training at Western University of Health Sciences before heading to Michigan State University to further hone his area of specialty. He has traveled the country to train in a number of Otolaryngology specialties, before bringing those skills and expertise back to build his practice here in Los Angeles, California. Dr. Ahmed Maki embarked upon his medical career at Missouri's A. T. Still University of Health Sciences. After graduating at the top of his class, he sought additional training at Michigan State University and became a Board Certified surgeon specializing in procedures involving the head and neck. Together, Dr. Trenkle and Dr. Maki have built a thriving medical practice aimed at providing patients with a full range of services. 

Read more

The Los Angeles Center for Ear, Nose, Throat and Allergy boasts a team of dedicated healthcare professionals that is second to none, where physicians and support staff work tirelessly to provide patients with the highest possible level of care. Dr. Geoffrey B. Trenkle is a Southern California native who began his medical training at Western University of Health Sciences before heading to Michigan State University to further hone his area of specialty. He has traveled the country to train in a number of Otolaryngology specialties, before bringing those skills and expertise back to build his practice here in Los Angeles, California. Dr. Ahmed Maki embarked upon his medical career at Missouri's A. T. Still University of Health Sciences. After graduating at the top of his class, he sought additional training at Michigan State University and became a Board Certified surgeon specializing in procedures involving the head and neck. Together, Dr. Trenkle and Dr. Maki have built a thriving medical practice aimed at providing patients with a full range of services. 


Read less
What we offer

Services

Insurances

We participate with most local and many national insurance plans. However, it is your responsibility to understand whether your insurance has limits on the doctors you can see or the services you can receive. Please contact our billing office or call your insurance carrier should you have questions.

We are also contracted with over 40 medical groups. Click the button below for more information.

Insurance & Payment

Adventist Health
Aetna
AltaMed Senior BuenaCare (PACE)
Anthem Blue Cross
Blue Cross
Blue Shield
Care1st
CareMore
Cigna
Health Net
Humana
Multiplan, Inc.
Preferred IPA of CA
Regal Medical Group
United Healthcare
Our Team

We are here to help

  • Lauren  Trenkle
    Lauren Trenkle
    Office Manager
  • Brian  De La Rosa
    Brian De La Rosa
    Chief Operating Officer
  • Paul  Manciallas
    Paul Manciallas
    Head Medical Assistant
  • Melly  Arevalo
    Melly Arevalo
    Head Allergy Medical Assistant
Our Locations

Choose your preferred location

Testimonials

Words from our patients

  • Yelp

    "Dr. Trenkle is a BLESSING! I have had horrible sinus issues for the past 6 years, constant sinus infections that have kept my life very limited. Im so thankful."

    Joshua F.
  • Yelp

    "If anyone is in need of an ENT physician who truly cares about every patient and their experience at the doctor I give my highest rating to Dr. Trenkle."

    Ivan R.
  • Yelp

    "Geoffrey B. Trenkle is amazing! He's so friendly and patient. He takes his time to get to know you. I really recommend him! He is so worth your time :)"

    Viona J.
  • "I had a great experience. Everyone was very nice and the doctor was clear, friendly, and addressed all of my questions and concerns."

    Erika T.
  • "Loving, caring,and compassionate staff. Everyone made me feel very safe and comfortable right before during and after surgery."

    Tina R.
  • "This office is just amazing ! Customer service is awesome all the nurses and staff. And of course the doctors."

    Diana A.
  • "I really appreciate the staff because they took very good care of my daughter during her tonsil surgery. I am very happy with the way everything was taken care of."

    Alicia R.
  • "The help I got from the doctor was Amazing!! He really took his time and was an absolutely excellent experience!"

    Inas S.
  • "One of the best experiences I have had in the medical industry. The staff answered all my questions, the office is clean, everyone is very friendly and professional."

    Nicolas A.