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Motor innervation of the cricopharyngeus muscle by the recurrent laryngeal nerve

J Appl Physiol (1985). 1997 Jul;83(1):89-94. doi: 10.1152/jappl.1997.83.1.89.

Abstract

Patients with recurrent laryngeal nerve (RLN) paresis demonstrate impaired function of laryngeal muscles and swallowing. The cricopharyngeus muscle (CPM) is a major component of the upper esophageal sphincter. It was hypothesized that the RLN innervates this muscle. A nerve branch leading from the RLN to the CPM was found in adult sheep by anatomic dissection. Electrical stimulation of the RLN elicited a muscle action potential recorded by electrodes placed in the ipsilateral CPM. Swallowing was investigated by mechanical stimulation of oropharynx pre- and postsectioning of the RLN. Severing of the RLN resulted in a loss of the early phases of swallow-related CPM electromyographic activity; however, late-phase CPM electromyographic activity persisted. The RLN provides motor innervation of the CPM, which also has innervation from the pharyngeal plexus.

MeSH terms

  • Action Potentials / physiology
  • Animals
  • Deglutition / physiology
  • Electric Stimulation
  • Electromyography
  • Motor Neurons / physiology*
  • Pharyngeal Muscles / anatomy & histology
  • Pharyngeal Muscles / innervation*
  • Recurrent Laryngeal Nerve / physiology*
  • Sheep