DEPARTMENT OF OTOLARYNGOLOGY/ EAR, NOSE & THROAT



Otolaryngologists are doctors who specialize in diagnosing and treating conditions of the ear, nose, and throat. La Peer's Otolaryngology Department is comprised of a team of specialists who concentrate on disorders and diseases of the ear, nose, larynx, head and neck, sinuses, respiratory tract, thyroid, trachea, and endocrine glands – essentially all the parts of the body that lie above the shoulders with the exception of the brain. All of the doctors at La Peer's Otolaryngology Department are board certified in otolaryngology with sub-specialty expertise. The physicians in our Otolaryngology Department are absolute professionals and have had rigorous, comprehensive training to improve the facial structure through various techniques of reconstructive surgery.

La Peer's Otolaryngology Department has performed many routine and cutting edge surgeries including the removal of benign and malignant tumors from the tongue, vocal cords, larynx, parathyroid and thyroid glands, salivary glands, ears, eyes, base of the skull. We have the very latest image-guidance systems for endoscopic sinus surgical procedures and nerve monitoring to make our surgical procedures safe for the patient. Our main goal is to improve the function and aesthetics of the ear, nose, and throat. The cosmetic requirements play a vital role in the modification and reconstruction of facial deformities that have resulted from surgeries for repairing sinuses, for treating cancer, and similar conditions

La Peer Health Systems has a special otolaryngology unit for outpatient surgery in the building. This unit has been created specially for the La Peer Otolaryngology patients. It is important to us to make the recovery process as painless and comfortable for you. Procedures that demand hospitalization, or extensive post-operative treatment or care, are carried out in hospitals that are listed by the specific insurance providers of the patients. However, the La Peer Otolaryngology Department is affiliated with Cedars Sinai hospital in Beverly Hills, CA.

Some of the common ENT conditions and procedures performed at La Peer are:

Medical Conditions

  • Salivary gland disorders
  • Tonsillitis
  • Sinus conditions
  • Deviated Septum
  • Head and Neck Tumors
  • Allergies
  • Vocal Cord Disorders
  • Swallowing Disorders
  • Thyroid Conditions
  • Parathyroid Conditions

Procedures

  • Endoscopic sinus surgery
  • Tonsillectomy
  • Functional endoscopic sinus surgery
  • Parathyroidectomy
  • Removal of salivary gland lesions
  • Septoplasty
  • Turbinate reduction
  • Throat and vocal cord surgery
  • Treatment of nasal bone fractures
  • Treatment of laryngeal disorders
  • Thyroidectomy

We have highly trained surgeons that believe technique and caring are just as important. We will not cut corners and we will advise you of your treatment options. If you are suffering from breathing problems, thyroid problems, or think you may be, please call us at 310-360-9119 and ask to speak with the ENT Department.

La Peer Surgery Center- Department of Otolaryngology/Head and Neck Surgery
(310) 360-9119
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Conditions Treated at La Peer Health Systems


Salivary gland disorders: The salivary gland disorders treated include:
  • Sialadenitis - An infection of the salivary glands. Typically antibiotics will be prescribed along with instructions to increase water intake and massage the affected gland. 
  • Chronic Sialadenitis - This condition can develop if those with salivary gland infections do not treat the infections quickly. Scar tissue develops on the glands, and in the ducts of the gland, and can then block the glands, which leads to more infections. It is very important to treat salivary glands quickly so you can avoid developing chronic sialandenitis. 
  • Sialolithiasis - salivary gland stones. The exact cause of salivary cause is not fully known, but people who don’t consume a lot of food or drink enough water are at risk for developing salivary gland stones. The treatment for salivary gland stones depends on the size and placement of the stone. If the stone is small, and in a certain location, it can be manually forced out. If the stone is too big, or in a difficult area, surgery will be required. 
  • Mucocele - Salivary gland cysts that typically develop near the mouth or lips. Salivary gland cysts are fluid-filled sacs that form after a salivary gland has become blocked. The symptoms of cysts include difficulty swallowing, a lump in the face or neck, bad taste in the mouth, difficulty eating, or difficulty speaking. The treatment for these cysts is surgery as it is important to make sure the cyst will not come back. 
  • Salivary gland tumors - The majority of salivary gland tumors are benign, or non-cancerous. The treatment for tumors will be surgery for a few reasons. A tumor can continue to grow, and if they do, they can interfere with eating, speaking, swallowing, and other important functions. As the tumor grows larger, the removal for them will become more complicated. Finally, a benign tumor can become cancerous in the future, so it is advised to remove any tumor before it becomes cancerous.

Tonsillitis: Tonsillitis is the inflammation of the tonsils. Tonsils are actually lymph nodes in the back of the throat. Their normal function is to protect the body from bacteria that may infect the body. It is very common that when one has strep throat, the tonsils become inflamed because of the infection. The symptoms of tonsillitis include difficulty swallowing, fever, ear pain, sore throat, tenderness in the neck and throat area, and headache. The treatment for tonsillitis includes antibiotics to treat the bacterial infection. If the infection is viral, then rest and time is the treatment. In the early 20th century, it was very common to remove tonsils if they became infected. However, this is not the case anymore. Tonsils are removed now if they routinely become infected and are problematic to the patient.

Sinus conditions: The conditions of the sinus include chronic sinusitis and acute sinusitis. Those who experience a sinus infection for more than 4 weeks are considered to have acute sinusitis. Many people with sinus conditions also suffer from allergies. The treatment for sinusitis also includes treatment for individual allergies. Sinus surgery may also be used, but that is if there is little improvement after other treatment courses have been used.

Deviated/Perforated Septum: The nasal septum is piece of cartilage that separates the nostrils. When this piece of cartilage is crooked (deviated), it can cause breathing problems. It is very common to have a deviated septum. Many people may have a deviated septum with little or no symptoms. The common symptoms experienced are nosebleeds, facial pain, frequent sinus infections, nasal obstruction, and noisy breathing while sleeping. The common cause of a deviated septum is trauma. A perforated septum is a condition where there is a hold in the septum. This can occur through inhaling chemicals, trauma, or cocaine use. The treatment for a deviated or perforated septum is a septoplasty.

Head and Neck Tumors: Head and neck tumors are tumors/cancer that occur in the mouth, neck, throat, nose, salivary glands, thyroid gland, or parathyroid. Leaving the tumor can allow it to grow larger and for cancer cells to spread to other parts of the body. Therefore, the treatment for head and neck tumors is surgery. If the tumor is benign, then surgery and intermittent evaluation is all that is required. If the tumor is malignant, then radiation therapy or chemotherapy may also be required depending on the location of the tumor.

Allergies: Allergies cause sinus and breathing problems for many people. It is important to diagnose what the patient is allergic to. The treatment for allergies includes avoidance, which means you will have to avoid certain allergens. This is often done through avoiding animals, dusting, etc. Other options include antihistamines, anti-inflammatory sprays, steroid nasal sprays, decongestants, expectorants, and allergy shots.

Vocal Cord Disorders: There are many conditions that can affect the vocal cords and voice. The common conditions include polyps, laryngopharyngeal acid reflux, cysts, cancer, granuloma, vocal cord hemorrhage, laryngitis, and papilloma. The causes of these conditions include viruses, vocal misuse, heavy use of voice, smoking, and inflammation. The treatment for vocal cord disorders depends on the underlying condition, but surgery is used to treat cysts, polyps, cancer, hemorrhages, and granulomas. For other conditions, voice rest and vocal therapy is used.

Swallowing Disorders: Swallowing disorders is a functional disorder that makes it difficult to swallow food, liquids, and/or saliva. The type of swallowing disorder depends on where the difficulty lies. Some people can have problems with food or liquids entering the windpipe or are unable to swallow at all. Swallowing disorders are often caused by another, often neurological, condition. Stomach, esophageal, and throat cancers can cause swallowing disorders. Strokes, Parkinson’s disease, cerebral palsy, and other neurological disorders can also cause throat disorders. The treatment for a swallowing disorder depends on the type of swallowing disorder and the underlying cause. The treatment could include adding thickeners to liquids to make ensure it doesn’t enter the windpipe, or surgery.

Enlarged Lymph Nodes: Lymph nodes can be found all over the body. Their basic purpose is to work like filters. If these lymph nodes are inflamed or enlarged due to some underlying reason such as a sore or acne, it can cause some problems from time to time. Sometimes an enlarged lymph node could be the sign of a tumor too, and our job is to diagnose the condition and perform tests. After routine tests and diagnosis, we recommend the necessary course of treatment.

Neck Masses: Neck masses have been one of the major causes of concern these days. These are quite commonly found during diagnosis and are prevalent in children and in adults as well. There could be various causes of neck masses, such as some infections or inflammatory diseases that cause inflammation of glands. Congenital cysts could also be the probable cause, and these are present usually since birth or are caused due to some trauma or injury or typical neoplastic diseases. Irrespective of the cause of neck mass, a routine evaluation conducted by the Board Certified ENT specialist or Otolaryngologist is usually recommended. While neck masses are usually benign or non-cancerous, it is still important to get the condition evaluated by a specialist for peace of mind.

Thyroid Disorders: The thyroid gland is one of the major glands of the body that is located right at the center of neck, below the Adam's apple. The thyroid gland has the shape of a butterfly and is mainly responsible for producing the hormone that controls the metabolic functions of the body.
  • Hyperthyroidism: Problems related to the thyroid gland involve its under-active or overactive functions that results in different physical complications with very little manifestation. Common symptoms of a hyperthyroidism include anxiety, unintentional weight loss, increased appetite, tremor, hypoglycemia, sweating, nausea, vomiting, or loss of libido. The treatment for hyperthyroidism are beta-blockers, surgery, anti-thyroid drugs, or radioiodine.
  • Hypothyroidism: Hypothyroidism is the underproduction of the thyroid hormone. The symptoms of hypothyroidism include constipation, feeling cold, depression, fatigue, unintentional weight gain, weakness, pale skin, and brittle hair and nails. The treatment for hypothyroidism is medication. Typically, life-long medication therapy is necessary.
  • Thyroid nodules: The thyroid gland often develops some lumps or nodules. They can be single lumps or multiple nodules. Most of these thyroid lumps are usually benign or non-cancerous. These nodules can be assessed with the help of an ultrasound or through needle biopsy as well. If you are suspected of having a malignant nodule, you would be diagnosed, and eventually a surgery would be performed to remove the nodule or the entire thyroid gland, according to the requirement.
Parathyroid Disorders: There are 4 parathyroid glands present in the body, each of 4 to 5 mm in size. Parathyroid glands are located behind the thyroid. These glands are attached to the thyroid gland. Parathyroid glands produce parathyroid hormones that control the metabolism of calcium in the body. Production of parathyroid hormone actually increases the level of calcium in the blood. They are also accountable for the presence of calcium in bones, muscles and bloodstream. When these glands tend to malfunction, immediate medical or even surgical treatments might be required. When the level of calcium in the body increases, it can cause muscle aches, tiredness, mood swings and nausea. It is possible to diagnose parathyroid diseases by performing a blood test. Cancer of the parathyroid gland is rare.
  • Hyperparathyroidism: When there is an overproduction of this hormone, it is called hyperparathyroidism. This condition occurs as a result of the presence of an adenoma, a benign tumor, in any of the four glands. It is surgically removed if the level of calcium in the blood is very high. In some rare occasions, all these four glands might produce excessive amounts of hormone; in such cases, more than 3 ½ parts of the gland will be removed surgically. Cancers that involve different structures of the neck or head are quite common these days. Such conditions are quite common in people who consume tobacco. Tumors are seen inside the mouth or throat, and even in the voice box. Cancer also spreads rapidly in the thyroid gland, saliva glands, lymph nodes, and sinuses. Cancer of the lymph nodes is called lymphoma.
    Patients with such problems would need to follow some treatments involving many specialists from different fields, such as radiation therapist, oncologist, family doctor and physicians. 
Cancer: Cancers that involve different structures of the neck or head are quite common these days. Such conditions are quite common in people who consume tobacco. Tumors are seen inside the mouth or throat, and even in the voice box. Cancer also spreads rapidly in the thyroid gland, saliva glands, lymph nodes, and sinuses. Cancer of the lymph nodes is called lymphoma.
Patients with such problems would need to follow some treatments involving many specialists from different fields, such as radiation therapist, oncologist, family doctor and physicians. 



Procedures at La Peer

Endoscopic sinus surgery: Endoscopic sinsus surgery is a minimally invasive surgery used to improve the function of the sinuses. An flexible tube with a camera, light, and room for instruments, is inserted through the nose and into the sinus. This surgery is used to remove nasal polyps, chronic sinusitis, frontal sinus disease, There is no incision and the surgery has less risk of complications and infections.
Balloon Sinuplasty: Balloon sinuplasty is a procedure used to treat chronic sinusitis. This procedure is, in many ways, similar to balloon angioplasty used on heart patients. The doctor will insert a balloon in through the nostril to the sinus. The balloon will be inflated to open the inflamed sinus. Balloon sinuplasty procedure is known to be very effective in relieving the symptoms associated with chronic sinusitis. The recovery time is much less than a surgical procedure and there is no incision.

Tonsillectomy: A tonsillectomy is a procedure to remove the tonsils. This procedure used to be unnecessarily performed on children, but is no longer done as often. When the tonsils are not fighting off infection as they should, are routinely becoming infected, or enlarged, they are then removed.

Functional endoscopic sinus surgery: Functional endoscopic sinus surgery is performed to remove nasal polyps, to treat sinusitis, and to treat chronic sinus problems. The procedure is performed through the nostrils, which leads to faster healing and no incision scars.

Parathyroidectomy: A parathyroidectomy is a procedure done to remove part or all of the parathyroid or to remove parathyroid tumors. There are a few techniques that can be used during this procedure. Many of them are minimally invasive and decrease the risk of infection and healing time. The procedure can take between 1-3 hours.

Removal of salivary gland lesions: A salivary gland may be removed if there is a tumor or cancerous growth.
Septoplasty:
A septoplasty is a procedure to fix a deviated nasal septum. The purpose of the procedure is to alleviate breathing problems due to a crooked septum. The shape of the nose should not change when fixing a deviated septum. The procedure is done entirely through the nostril and will not leave a scar on the face.
Turbinate reduction surgery: Turbinate reduction surgery is a procedure used to treat chronic nasal obstruction. The turbinate cleans and humidifies the air we inhale before it moves to the lungs. The turbinates can sometimes block the airway and make it difficult to breathe. The surgery reduces the size of the turbinates while preserving the function. The procedure is relatively short and lasts about 30-45 minutes. There is no external incision; it is perfomed entirely through the nostril. Turbinate reductions are often performed along with septoplasties.
Throat and vocal cord surgery: Throat and vocal cord surgery may be required for those experiencing chronic laryngitis, vocal cord hemorrhage, vocal fold nodules, cysts, cancer, acid reflux, HPV, and granulomas. Typically surgery is used if the condition is not responding to other forms of treatment.
Thyroidectomy: A thryoidectomy is a procedure to remove part or all of the thyroid gland. It is often used to treat thyroid cancer, hyperthyroidism, an enlarged thyroid, throat obstruction. The thyroid produces a few different hormones. Therefore, when the thyroid is removed, hormone replacement therapy is often needed.

La Peer Surgery Center- Department of Otolaryngology/Head and Neck Surgery
(310) 360-9119
8920 Wilshire Blvd #101
Beverly Hills, CA 90211
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Doctors

Babajanian, Michaelalt

Dr. Michel Babajanian is a board-certified Otolaryngologist and Head and Neck Surgeon. He is a member of the American Academy of Otolaryngology – Head and Neck Surgery (AAOHNS), readmore


Larian, Babakalt

Babak Larian is a highly experienced and reputable ear, nose & throat specialist, and  head & neck surgeon in Los Angeles. Dr. Larian has extensive experience in treating diseases readmore


Zadeh, Manialt

Mani H. Zadeh, MD FACS is a board-certified otolaryngologist-head and neck surgeon. He is a member of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) readmore