Where Is The Recurrent Laryngeal Nerve?

How do you know if you have a recurrent laryngeal nerve?

The Tubercle of Zuckerkandl marks the posterolateral aspect of the thyroid lobe and is most often found lateral to the recurrent laryngeal nerve.

The tubercle can be found in 80% of thyroids and when found can lead directly to the recurrent laryngeal nerve, as 93% of the nerves are found medial to this tubercle..

What is laryngeal nerve damage?

Laryngeal nerve damage is injury to one or both of the nerves that are attached to the voice box. Laryngeal nerve damage can be caused by injury, tumors, surgery, or infection. Damage to the nerves of the larynx can cause hoarseness, difficulty in swallowing or breathing, or the loss of voice.

Where is the recurrent laryngeal nerve located?

The recurrent laryngeal nerves branch off the vagus, the left at the aortic arch, and the right at the right subclavian artery. The left RLN passes in front of the arch, and then wraps underneath and behind it. After branching, the nerves typically ascend in a groove at the junction of the trachea and esophagus.

What does the left recurrent laryngeal nerve innervate?

The left recurrent laryngeal nerve comes from the left vagus nerve, loops posteriorly around the arch of the aorta, and ascends in the tracheoesophageal groove posterior to the left lobe of the thyroid, where it enters the larynx and innervates the musculature in a similar fashion as the right nerve.

How do you treat a recurrent laryngeal nerve injury?

The treatment methods include the medicines (neurotrophic medicines, glucocorticoids and vasodilators); ultrashort wave therapy, acupuncture and moxibustion and others; voice training, vocal cord injection and others; reinnervation methods of the unilateral RLN injury (including RLN decompression, end to end …

Is there a right recurrent laryngeal nerve?

The right recurrent laryngeal nerve arises from in front of the subclavian artery. It then ascends alongside the trachea posterior to the common carotid artery. At the inferior pole of the thyroid gland, the recurrent laryngeal nerve is closely related to the inferior thyroid artery.

What causes recurrent laryngeal nerve paralysis?

In 134 patients with recurrent laryngeal nerve paralysis, the left recurrent nerve was most commonly involved. Malignant neoplasms of the lung and pulmonary tuberculosis were the most frequent causes of the paralysis.

What is the function of the recurrent laryngeal nerve?

The recurrent laryngeal nerve (RLN) branches off the vagus nerve (cranial nerve X) and has an indirect course through the neck. It supplies innervation to all of the intrinsic muscles of the larynx, except for the cricothyroid muscles, as well as sensation to the larynx below the level of the vocal cords.

What is laryngeal level?

Location. In adult humans, the larynx is found in the anterior neck at the level of the C3–C6 vertebrae. It connects the inferior part of the pharynx (hypopharynx) with the trachea.

What is non recurrent laryngeal nerve?

A nonrecurrent laryngeal nerve (NRLN) is a rare anatomical variation in which the nerve enters the larynx directly from the cervical vagus nerve, without descending to the thoracic level [2]. It has been reported in 0.3-0.8% of the population on the right side, being extremely rare on the left side (0.004%) [3].

Where does the recurrent laryngeal nerve enters larynx?

The nerves pass posterior to the cricothyroid joint as they enter the larynx at this level through fibers of the inferior constrictor muscles of the pharynx. At this point, the RLN becomes the inferior laryngeal nerve.

What happens to the vocal folds of one recurrent laryngeal nerve is damaged?

A unilateral injury of the nerve typically results in hoarseness caused by a reduced mobility of one of the vocal folds. It may also cause minor shortages of breath as well as aspiration problems especially concerning liquids.

What do the recurrent laryngeal nerve loop around?

The recurrent laryngeal nerve (RLN), also known as the inferior laryngeal nerve, is a branch of the vagus nerve (CN X) which has a characteristic loop around the right subclavian artery on the right and the aortic arch on the left before returning up to achieve the tracheoesophageal groove and then the larynx.

What does laryngeal mean?

1 : of, relating to, or used on the larynx a laryngeal obstruction. 2 : produced by or with constriction of the larynx laryngeal articulation of sounds. laryngeal. noun.

What is the function of the extrinsic laryngeal muscles?

The extrinsic muscles act to move the larynx superiorly and inferiorly. They are comprised of the suprahyoid and infrahyoid groups, and the stylopharyngeus (a muscle of the pharynx). The supra- and infrahyoid muscle groups attach to the hyoid bone.