Superior laryngeal nerve

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Nerve: Superior laryngeal nerve
Plan of upper portions of glossopharyngeal, vagus, and accessory nerves. ("Laryngeal" labeled at lower right.)
Course and distribution of the glossopharyngeal, vagus, and accessory nerves. (Branches visible in upper right.)
Latin n. laryngeus superior
Gray's subject #205 912

The Superior Laryngeal Nerve arises from the middle of the ganglion nodosum and in its course receives a branch from the superior cervical ganglion of the sympathetic. It descends, by the side of the pharynx, behind the internal carotid artery, and divides into two branches, external and internal.

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[edit] External branch

The external branch (ramus externus), the smaller, descends on the larynx, beneath the sternothyroid muscle, to supply the cricothyroid muscle.

It gives branches to the pharyngeal plexus and the inferior pharyngeal constrictor, and communicates with the superior cardiac nerve behind the common carotid artery.

The external branch is susceptible to damage during thyroidectomy, as it lies immediately deep to the superior thyroid artery.

[edit] Internal branch

The internal branch (ramus internus) descends to the hyothyroid membrane, pierces it in company with the superior laryngeal artery, and is distributed to the mucous membrane of the larynx.

Of these branches some are distributed to the epiglottis, the base of the tongue, and the epiglottic glands; others pass backward, in the aryepiglottic fold, to supply the mucous membrane surrounding the entrance of the larynx, and that lining the cavity of the larynx as low down as the vocal folds.

A filament descends beneath the mucous membrane on the inner surface of the thyroid cartilage and joins the recurrent nerve.

Irritation of the internal laryngeal nerve results in uncontrolled coughing - usually as a result of food or water in the laryngopharynx.

[edit] See also

[edit] External links

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.

Cranial nerves

I-IV: olfactory - optic - oculomotor - trochlear

V: trigeminal: semilunar ganglion
V1: ophthalmic: lacrimal - frontal (supratrochlear, supraorbital) - nasociliary (long root of ciliary, long ciliary, infratrochlear, ethmoidal) - ciliary ganglion - short ciliary
V2: maxillary: middle meningeal - in the pterygopalatine fossa (zygomatic, zygomaticotemporal, zygomaticofacial, sphenopalatine, posterior superior alveolar)
in the infraorbital canal (middle superior alveolar, anterior superior alveolar)
on the face (inferior palpebral, external nasal, superior labial, infraorbital plexus) - pterygopalatine ganglion (deep petrosal, nerve of pterygoid canal)
branches of distribution (palatine, nasopalatine, pharyngeal)
V3: mandibular: nervus spinosus - internal pterygoid - anterior (masseteric, deep temporal, buccinator, external pterygoid)
posterior (auriculotemporal, lingual, inferior alveolar, mylohyoid, mental) - otic ganglion - submandibular ganglion

VI: abducent

VII: facial: nervus intermedius - geniculate - inside facial canal (great petrosal, nerve to the stapedius, chorda tympani)
at exit from stylomastoid foramen (posterior auricular, digastric - stylohyoid)
on face (temporal, zygomatic, buccal, mandibular, cervical)

VIII: vestibulocochlear: cochlear (striae medullares, lateral lemniscus) - vestibular

IX: glossopharyngeal: fasciculus solitarius - nucleus ambiguus - sympathetic efferent fibers - ganglia (superior, petrous) - tympanic

X: vagus: ganglia (jugular, nodose) - Alderman's nerve - in the neck (pharyngeal branch, superior laryngeal, recurrent laryngeal) - in the thorax (pulmonary branches, esophageal plexus) - in the abdomen (gastric plexuses, celiac plexus, gastric plexus)

XI: accessory XII: hypoglossal