Nervus laryngeus recurrens

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.
Summary
- location: superior mediastinum and the lower neck regions
- origin and course: originates from the vagus nerve (CN X)
- on the right side, the RLN exits anteriorly to the subclavian artery and travels inferiorly and posteriorly under the artery before ascending through the neck between the trachea and the esophagus
- on the left side, the RLN exits at the aortic arch level and courses posteromedially beneath it before looping through the aorticopulmonary window, posterior to the ligamentum arteriosum
- the nerve then has a symmetric ascending vertical course in the tracheo-esophageal groove, adjacent to the medial surface of the lobes of the thyroid gland
- courses below the inferior border of the inferior pharyngeal constrictor muscle to enter the larynx posterior to the cricothyroid joint
- branches and supply
- motor supply to all the intrinsic muscles of the larynx except the cricothyroid muscle, which is supplied by the external laryngeal nerve
- sensory and secretomotor supply to the laryngeal mucosal structures below the level of the vocal cords and trachea
- relations: right subclavian artery on the right side and aortic arch on the left
- variants: non-recurrent laryngeal nerve
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