Vocal cord paresis (weakness) or paralysis (no movement) results in weakened motion or no motion of one or both vocal cords, which can lead to significant voice and swallowing changes. Vocal cord paresis or paralysis can occur for a variety of reasons including surgical, trauma to the neck, prior intubation injury, tumors in the skull base, neck, and chest, and viral infections. Patients may notice a weak or breathy voice, shortness of breath with speaking or noisy breathing. Patients may also have coughing or choking when swallowing. Treatment options vary from speech therapy to surgery on the vocal cord with injections or implants to correct the problem.