
Vagus Nerve - Cranial Nerve
X travels in the carotid sheath deep to the common carotid artery
and internal jugular vein. The vagus has a wide array of innervation
in the head and neck as well as throughout the chest and abdomen.
The superior laryngeal nerve arises from the
vagus and travels inferior-medially. Two branches are significant;
the internal laryngeal nerve and the external
laryngeal nerve. The internal laryngeal
nerve pierces the thyrohyoid membrane
with the superior laryngeal artery and is
sensory to the laryngeal mucosa above the vocal folds. The external
laryngeal nerve is a motor nerve to cricothyroid.
There is an additional motor branch to the larynx in the recurrent
laryngeal nerve which is a motor nerve to the laryngeal muscles
and carries a sensory component to the laryngeal mucosa below the vocal
folds. This nerve may be seen ascending along the lateral border
of the thyroid and entering the larynx. Further detail will be given
to this nerve later. Reference Netter Plates 27, 65, 69, and 70.