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The recurrent laryngeal nerves control all intrinsic muscles of the larynx except for the cricothyroid muscle. [15] [a] These muscles act to open, close, and adjust the tension of the vocal cords, and include the posterior cricoarytenoid muscles, the only muscle to open the vocal cords.
Sensory innervation to the glottis and laryngeal vestibule is by the internal branch of the superior laryngeal nerve. The external branch of the superior laryngeal nerve innervates the cricothyroid muscle. Motor innervation to all other muscles of the larynx and sensory innervation to the subglottis is by the recurrent laryngeal nerve. While ...
The lateral cricoarytenoid (also anterior cricoarytenoid) is an intrinsic muscle of the larynx. It attaches at the cricoid cartilage anteriorly, and at the arytenoid cartilage of the same side posteriorly. It is innervated by the recurrent laryngeal nerve. It acts to close the rima glottidis, thus closing the airway.
The external laryngeal nerve is the smaller, external branch. It descends on the larynx, beneath the sternothyroid muscle, to supply the cricothyroid muscle. The external branch functions to stretch the vocal cords by activating the cricothyroid muscle, increasing pitch.
The posterior cricoarytenoid muscle receives motor innervation from (the anterior division of) the recurrent laryngeal nerve (itself a branch of the vagus nerve (CN X)). [2] [5] Different parts of the muscle (such as the medial and lateral muscle bellies) are often innervated by separate branches. [2] There may be 1-6 branches, but are usually 2-3.
The cricothyroid muscle is the only tensor muscle of the larynx aiding with phonation. It is innervated by the superior laryngeal nerve. It is innervated by the superior laryngeal nerve. Its action tilts the thyroid forward to help tense the vocal cords , thus increasing the pitch of the voice.
Its anterior surface is in relation with the thyrohyoid muscle, sternohyoid muscle, and omohyoid muscles, and with the body of the hyoid bone. It is pierced by the superior laryngeal nerve . [ 2 ] It is also pierced the superior thyroid artery , where there is a thickening of the membrane.
The glottis closes (muscles innervated by recurrent laryngeal nerve) and the vocal cords contract to shut the larynx. The abdominal muscles contract to accentuate the action of the relaxing diaphragm; simultaneously, the other expiratory muscles contract. These actions increase the pressure of air within the lungs.