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Understanding Anesthesiology - The Global Regional Anesthesia ...

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<strong>The</strong>re are many different laryngeal muscles. Some adduct, while<br />

others abduct the cords. Some tense, while others relax the cords.<br />

With the exception of one, they are all supplied by the recurrent laryngeal<br />

nerve. <strong>The</strong> cricothyroid muscle, an adductor muscle, is<br />

supplied by the external branch of the superior laryngeal nerve.<br />

Table 1 Sensory innervation of the airway<br />

NERVE<br />

AREA SUPPLIED<br />

Figure 1 Nerve<br />

supply to the airway<br />

This figure was<br />

published in Atlas<br />

of <strong>Regional</strong><br />

<strong>Anesthesia</strong>, 3rd<br />

edition, David<br />

Brown, Copyright<br />

Elsevier<br />

(2006) and used<br />

with permission<br />

lingual nerve<br />

anterior 2/3 of tongue<br />

glossopharyngeal nerve<br />

superior laryngeal nerve<br />

(internal branch)<br />

recurrent laryngeal nerve<br />

posterior 1/3 of tongue<br />

epiglottis and larynx<br />

trachea, lower airways<br />

Figure 2 Sensory<br />

innervation<br />

of the tongue<br />

From the 4th edition<br />

(2010) of<br />

"Principles of Airway<br />

Management".<br />

<strong>The</strong><br />

authors are B.T.<br />

Finucane, B.C.H.<br />

Tsui and A. Santora.<br />

Used by permission<br />

of Springer,<br />

Inc.<br />

12

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