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Recurrent laryngeal nerve

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53: 604: 65: 293: 462:. These project forward from the back of the embryo towards the front of the face and neck. Each arch develops its own artery, nerve that controls a distinct muscle group, and skeletal tissue. The arches are numbered from 1 to 6, with 1 being the arch closest to the head of the embryo, and the fifth arch only existing transiently. 668:
branches. Similarly, thermal injury can occur with the use of radio frequency ablation to remove thyroid nodules. The nerve is permanently damaged in 0.3–3% of thyroid surgeries, and transient paralysis occurs in 3–8% of surgeries; accordingly, recurrent laryngeal nerve damage is one of the leading causes of
489:. Typically, such a configuration is accompanied by variation in the arrangement of the major arteries in the chest; most commonly, the right subclavian artery arises from the left side of the aorta and crosses behind the esophagus. A left nonrecurrent inferior laryngeal nerve is even more uncommon, 729:
of the recurrent laryngeal nerves. The cause is not known, although a genetic predisposition is suspected. The length of the nerve is a factor since it is more common in larger horses, and the left side is affected almost exclusively. As the nerve cells die, there is a progressive paralysis of the
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light confirms the absence of movement in the affected side of the vocal cords. The right recurrent laryngeal nerve is more susceptible to damage during thyroid surgery because it is close to the bifurcation of the right inferior thyroid artery, variably passing in front of, behind, or between the
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Arches 4 and 6 produce the laryngeal cartilages. The nerve of the sixth arch becomes the recurrent laryngeal nerve. The nerve of the fourth arch gives rise to the superior laryngeal nerve. The arteries of the fourth arch, which project between the nerves of the fourth and sixth arches, become the
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patients develop hoarseness because of recurrent laryngeal nerve compression, usually left-sided. This is associated with worse outcomes, and when found as a presenting symptom, often indicates inoperable tumors. The nerve may be severed intentionally during lung cancer surgery in order to fully
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remove a tumor. The RLN may also be damaged by tumors in the neck, especially with malignant lymph nodes with extra-capsular extension of tumor beyond the capsule of the nodes, which may invade the area that carries the ascending nerve on the right or left.
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Spiro SG, Gould MK, Colice GL (September 2007). "Initial evaluation of the patient with lung cancer: symptoms, signs, laboratory tests, and paraneoplastic syndromes: ACCP evidenced-based clinical practice guidelines (2nd edition)".
782:, traveling from the brain, past the heart, to the gills (as it does in modern fish). Over the course of evolution, as the neck extended and the heart became lower in the body, the laryngeal nerve remained in its original course. 1518:
Yamamoto, Natsuhiro, Yamaguchi, Yoshikazu, Nomura, Takeshi, et al. Successful Assessment of Vocal Cord Palsy Before Tracheal Extubation by Laryngeal Ultrasonography in a Patient After Esophageal Surgery: A Case Report.
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The recurrent laryngeal nerves may be injured as a result of trauma, during surgery, as a result of tumour spread, or due to other means. Injury to the recurrent laryngeal nerves can result in a weakened voice
328:(to run), indicates they run in the opposite direction to the vagus nerves from which they branch. The vagus nerves run down into the thorax, and the recurrent laryngeal nerves run up to the larynx. 254:. There are two recurrent laryngeal nerves, right and left. The right and left nerves are not symmetrical, with the left nerve looping under the aortic arch, and the right nerve looping under the 1830:"Cardiovocal Syndrome (Ortner's Syndrome) Associated with Chronic Thromboembolic Pulmonary Hypertension and Giant Pulmonary Artery Aneurysm: Case Report and Review of the Literature" 351:. 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 485:
In roughly 1 out of every 100–200 people, the right inferior laryngeal nerve is nonrecurrent, branching off the vagus nerve around the level of the
202: 1711:"Intraoperative neuromonitoring versus visual nerve identification for prevention of recurrent laryngeal nerve injury in adults undergoing thyroid surgery" 734:), accompanied by worsening performance. The condition is incurable, but surgery can keep the airway open. Experiments with nerve grafts have been tried. 3063: 3058: 2987: 2842: 758:, but these would not be the longest neurons that ever existed: the neurons reaching the tip of the tail would have exceeded 30 metres (98 ft). 730:
larynx, causing the airway to collapse. The common presentation is a sound, ranging from a musical whistle to a harsh roar or heaving gasping noise (
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Cirocchi R, Arezzo A, D'Andrea V, Abraha I, Popivanov GI, Avenia N, et al. (Cochrane Metabolic and Endocrine Disorders Group) (January 2019).
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with the longest necks, the total length of the vagus nerve and recurrent laryngeal nerve would have been up to 28 metres (92 ft) long in
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reported upon the dissection of three giraffes, including a description of the full course of the left recurrent laryngeal nerve. Anatomists
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Sañudo JR, Maranillo E, León X, Mirapeix RM, Orús C, Quer M (June 1999). "An anatomical study of anastomoses between the laryngeal nerves".
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Ardito G, Revelli L, D'Alatri L, Lerro V, Guidi ML, Ardito F (February 2004). "Revisited anatomy of the recurrent laryngeal nerves".
3053: 2366: 2204: 258:, then traveling upwards. They both travel alongside the trachea. Additionally, the nerves are among the few nerves that follow a 631:
on the same side. This is the sole muscle responsible for opening the vocal cords, and paralysis may cause difficulty breathing (
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concluded that the available evidence shows no difference between visually identifying the nerve or utilizing intraoperative
571:, the only muscle to open the vocal cords. The nerves supply muscles on the same side of the body, with the exception of the 477:. During growth, these arteries descend into their ultimate positions in the chest, creating the elongated recurrent paths. 3192: 1584:
Muhammad H, Santhanam P, Russell JO (June 2021). "Radiofrequency ablation and thyroid nodules: updated systematic review".
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The nerve receives close attention from surgeons because the nerve is at risk for injury during neck surgery, especially
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The recurrent laryngeal nerves supply sensation to the larynx below the vocal cords, give cardiac branches to the
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The nerves also carry sensory information from the mucous membranes of the larynx below the lower surface of the
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course, moving in the opposite direction to the nerve they branch from, a fact from which they gain their name.
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left-sided arch of the aorta and the right subclavian artery. The arteries of the sixth arch persist as the
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Brunicardi FC, Brunicardi F, Andersen D, Raphael EP, Billiar T, Dunn D, et al. (September 11, 2009).
2863: 851: 368: 1949:"A Monument of Inefficiency: The Presumed Course of the Recurrent Laryngeal Nerve in Sauropod Dinosaurs" 2307: 2268: 371:, passing into the larynx just posterior to the cricothyroid joint. The terminal branch is called the 2680: 2605: 2433: 737:
Although uncommon in dogs, bilateral recurrent laryngeal nerve disease may be the cause of wheezing (
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The extreme detour of the recurrent laryngeal nerves, about 4.6 metres (15 ft) in the case of
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Heikkinen J, Milger K, Alejandre-Lafont E, Woitzik C, Litzlbauer D, Vogt JF, et al. (2012).
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Naidu L, Ramsaroop L, Partab P, Satyapal KS (September 2012). "Galen's "anastomosis" revisited".
1795: 1332:"Laryngeal Nerve Anatomy: Introduction, Vagus Nerve (Cranial Nerve X), Superior Laryngeal Nerve" 822:
described the nerve in what is now regarded as an anatomically standard description, and doctor
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or major blood vessels impinges upon the nerve, causing symptoms of unilateral nerve injury.
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during surgery, when trying to prevent injury to recurrent laryngeal nerve during surgery.
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The vagus nerves, from which the recurrent laryngeal nerves branch, exit the skull at the
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through the neck. The recurrent laryngeal nerves branch off the vagus, the left at the
280:. The existence of the recurrent laryngeal nerve was first documented by the physician 70: 3142: 2728: 2723: 2706: 2396: 2134: 2090: 2023: 1986: 1920: 1886: 1861: 1801: 1776: 1740: 1683: 1678: 1661: 1636: 1613: 1601: 1566: 1501: 1478:
Hartl DM, Travagli JP, Leboulleux S, Baudin E, Brasnu DF, Schlumberger M (May 2005).
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documented a way for its interoperative identification during thyroid operations.
3103: 2805: 2711: 2468: 2387: 2283: 2256: 2084: 1146: 971: 582:, as well as sensory, secretory and motor fibres to the cervical segments of the 455: 423: 332: 277: 269:, and branch to the trachea, esophagus and the inferior constrictor muscles. The 166: 31: 1797:
Principles and Practice of Lung Cancer: The Official Reference Text of the IASLC
778:. The nerve's route would have been direct in the fish-like ancestors of modern 273:, the only muscles that can open the vocal folds, are innervated by this nerve. 2800: 2718: 2627: 2572: 2485: 2278: 2222: 2214: 2080: 2019: 1628: 1597: 1446: 863: 544: 513: 490: 340: 336: 317: 2176: 77:
lymph glands, with the left and right recurrent nerves visible on either side.
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The RLN may be compressed by tumors. Studies have shown that 2–18% of
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In about four people out of five, there is a connecting branch between the
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Unlike the other nerves supplying the larynx, the right and left RLNs lack
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or cardiovocal syndrome, a rare cause of left recurrent laryngeal nerve
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Hayward NJ, Grodski S, Yeung M, Johnson WR, Serpell J (January 2013).
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to segments of the trachea and esophagus in the neck originate in the
382:. The left RLN is longer than the right, because it crosses under the 215: 2182: 1226: 583: 356: 125: 316:, relative to which they get their names; the term "recurrent" from 969: 779: 745: 659:
surgery; as well as esophagectomy. Nerve damage can be assessed by
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at The Anatomy Lesson by Wesley Norman (Georgetown University) (
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Hussain I, Zulfiqar F, Li X, Ahmad S, Aljammal J (August 2021).
806:. In 1838, five years before he would introduce the concept of 2997: 1662:"Recurrent laryngeal nerve injury in thyroid surgery: a review" 803: 608: 459: 364: 247: 101: 2116: 1477: 791: 710: 540: 281: 149: 129: 1212: 603: 2945: 1282: 1259:
Endoscopic Evaluation and Treatment of Swallowing Disorders
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demonstrated the nerve course and the clinical syndrome of
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The recurrent laryngeal nerves are the nerves of the sixth
1659: 1629:"Anatomy, Head and Neck, Larynx Recurrent Laryngeal Nerve" 292: 64: 473:
After birth, the ductus arteriosus regresses to form the
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Recurrent laryngeal nerve visible during resection of a
30:"Recurrent nerve" redirects here. For the supply to the 1793: 422:. Fibers cross over to and join the vagus nerve in the 2173:
Dissection of a giraffe displaying the laryngeal nerve
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at Human Anatomy Online, SUNY Downstate Medical Center
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2017;9(11):308-310. doi:10.1213/XAA.0000000000000601.
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Gross CG (May 1998). "Galen and the Squealing Pig".
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The Journal of Clinical Endocrinology and Metabolism
1428: 1821: 1882:Equine Clinical Medicine, Surgery and Reproduction 1794:Carbone DP, Pass HI, Johnson DH, Minna JD (2010). 1003:. Lippincott Williams & Wilkins. p. 770. 1027:Thieme Atlas of Anatomy: Neck and Internal Organs 939: 3174: 2060:. Zoological Society of London. pp. 217–248 2058:Transactions of the Zoological Society of London 1757: 1179:Duh QY, Clark OH, Kebebew E (October 14, 2009). 1108: 1106: 944:. Philadelphia: Elsevier/Churchill Livingstone. 2072: 2054:"Notes on the dissection of the Nubian giraffe" 1787: 1635:. Treasure Island (FL): StatPearls Publishing. 1326: 1324: 1322: 1178: 1024:Ross, Lawrence M.; Lamperti, Edward D. (2006). 1017: 470:on the left, and are obliterated on the right. 312:The recurrent laryngeal nerves branch from the 1086:Thieme Atlas of Anatomy: Head and Neuroanatomy 491:requiring the aortic arch be on the right side 2198: 1429:Aljammal J, Hussain I, Ahmad S (2022-03-01). 1357: 1355: 1353: 1351: 1349: 1140: 1138: 1136: 1103: 965: 963: 961: 643:, uncoordinated movements of the vocal cord. 2086:The Collins Encyclopedia of Animal Evolution 1319: 1249: 1078: 1076: 1074: 1023: 57:Course of the left recurrent laryngeal nerve 2078: 1878: 1715:The Cochrane Database of Systematic Reviews 1399: 1397: 935: 933: 559:The recurrent laryngeal nerves control all 2205: 2191: 1386:: CS1 maint: location missing publisher ( 1346: 1133: 1112: 997:Agur, A. M. R.; Dalley, Arthur F. (2009). 996: 976:(9th ed.). McGraw Hill Professional. 958: 63: 51: 1964: 1855: 1845: 1751: 1734: 1677: 1560: 1550: 1495: 1471: 1454: 1071: 426:. Sensory cell bodies are located in the 1985:. Marshall Cavendish Corporation. 2010. 1627:Allen E, Minutello K, Murcek BW (2022). 1408:(3rd ed.). Williams & Wilkins. 1394: 1255: 1083:Schulte E, Schumacher U, Rude J (2007). 930: 761: 602: 593: 535:As the recurrent nerve hooks around the 291: 1912: 1050: 627:. Injury to the nerve may paralyze the 575:, which is innervated from both sides. 14: 3175: 2212: 1361: 1182:Atlas of Endocrine Surgical Techniques 1144: 1116:Anatomic Basis of Neurologic Diagnosis 940:Drake RL, Vogl W, Mitchell AW (2005). 549:inferior pharyngeal constrictor muscle 138:inferior pharyngeal constrictor muscle 2186: 2005: 1946: 1800:. Lippincott Williams & Wilkins. 1403: 723:equine recurrent laryngeal neuropathy 709:, expansion of structures within the 2048: 1982:Mammal Anatomy: An Illustrated Guide 1879:Munroe G, Weese S (March 15, 2011). 36:recurrent branch of the median nerve 796:recurrent laryngeal nerve paralysis 528:, and is one of several documented 420:cranial root of the accessory nerve 24: 430:, and the fibers terminate in the 25: 3204: 2148: 440:dorsal nucleus of the vagus nerve 1916:Textbook of Small Animal Surgery 1679:10.1111/j.1445-2197.2012.06247.x 1539:Journal of the Endocrine Society 1364:Recurrent laryngeal nerve injury 1297:10.1097/00005537-199906000-00026 973:Schwartz's Principles of Surgery 844:Posterior cricoarytenoid muscles 741:) when middle-aged dogs inhale. 716: 696: 569:posterior cricoarytenoid muscles 271:posterior cricoarytenoid muscles 210:Anatomical terms of neuroanatomy 2110: 2042: 1999: 1973: 1940: 1906: 1872: 1702: 1653: 1620: 1577: 1526: 1512: 1422: 1276: 1206: 1172: 836: 629:posterior cricoarytenoid muscle 561:intrinsic muscles of the larynx 500:, a branch of the RLN, and the 1727:10.1002/14651858.CD012483.pub2 1051:Aronson, Arnold Elvin (2009). 1044: 990: 904: 878: 848:Lateral cricoarytenoid muscles 508:. This is commonly called the 445: 13: 1: 3085:Dorsal nucleus of vagus nerve 2131:10.1016/j.amjsurg.2003.11.001 1953:Acta Palaeontologica Polonica 872: 458:pairs form in the developing 347:, and the right at the right 1919:. Elsevier Health Sciences. 1256:Langmore SE (January 2001). 1185:. Elsevier Health Sciences. 1119:. Thieme. pp. 260–261. 1113:Alberstone, Cary D. (2009). 852:Transverse arytenoid muscles 672:issues for surgeons. A 2019 641:vocal cord motion impairment 623:) and cause problems in the 480: 287: 250:, with the exception of the 7: 3193:Nerves of the head and neck 2864:Inferior salivatory nucleus 2119:American Journal of Surgery 1406:Clinically Oriented Anatomy 1145:Larsen, William J. (1993). 942:Gray's Anatomy for Students 916:Medical definition and more 554: 369:inferior constrictor muscle 10: 3209: 2308:lateral geniculate nucleus 2269:anterior olfactory nucleus 2020:10.1177/107385849800400317 1598:10.1007/s12020-020-02598-6 1447:10.1016/j.aace.2022.02.004 1435:AACE Clinical Case Reports 785: 646: 393: 155:nervus laryngeus recurrens 29: 3141: 3102: 3072: 3034: 2996: 2988:Superior cervical cardiac 2944: 2920: 2891: 2881: 2851: 2790: 2761: 2751: 2693: 2681:Superior salivary nucleus 2663: 2593: 2544: 2523: 2513: 2484: 2434:spinal trigeminal nucleus 2415: 2386: 2333: 2294: 2255: 2221: 1151:. Churchill Livingstone. 856:Oblique arytenoid muscles 683: 598: 547:, trachea, esophagus and 454:development, a series of 428:inferior jugular ganglion 242:X) that supplies all the 228:recurrent laryngeal nerve 208: 196: 184: 172: 160: 148: 143: 97: 87: 82: 62: 50: 46:Recurrent laryngeal nerve 45: 3121:spinal accessory nucleus 2561:pterygopalatine ganglion 2352:Edinger–Westphal nucleus 2155:Anatomy figure: 21:04-01 1834:Case Reports in Medicine 1054:Clinical Voice Disorders 1000:Grant's Atlas of Anatomy 829: 790:Ancient Greek physician 532:between the two nerves. 506:superior laryngeal nerve 502:internal laryngeal nerve 498:inferior laryngeal nerve 373:inferior laryngeal nerve 106:posterior cricoarytenoid 2503:no significant branches 2405:no significant branches 2245:no significant branches 256:right subclavian artery 27:Nerve in the human body 2823:Stylopharyngeal branch 2583:submandibular ganglion 2568:Nerve to the stapedius 1947:Wedel MJ (June 2012). 1767:(3 Suppl): 149S–160S. 1666:ANZ Journal of Surgery 1552:10.1210/jendso/bvab110 1057:. Thieme. p. 74. 860:Thyroarytenoid muscles 810:to biology, anatomist 721:Horses are subject to 637:the inability to speak 611: 517: 436:Parasympathetic fibers 335:and travel within the 321: 309: 110:lateral cricoarytenoid 1966:10.4202/app.2011.0019 1885:. Manson Publishing. 1773:10.1378/chest.07-1358 1521:A&A Case Reports. 772:evidence of evolution 762:Evidence of evolution 606: 594:Clinical significance 573:interarytenoid muscle 475:ligamentum arteriosum 450:During human and all 388:ligamentum arteriosum 306:ligamentum arteriosum 295: 234:) is a branch of the 2671:Facial motor nucleus 2367:parasympathetic root 1497:10.1210/jc.2004-2533 727:disease of the axons 619:) or loss of voice ( 524:usually refers to a 510:anastomosis of Galen 414:and emerge from the 400:somatic motor fibers 252:cricothyroid muscles 2983:Recurrent laryngeal 2828:Pharyngeal branches 2606:Posterior auricular 2454:trigeminal ganglion 1913:Slatter DH (2003). 1847:10.1155/2012/230736 565:cricothyroid muscle 410:are located in the 402:that innervate the 267:deep cardiac plexus 2966:Superior laryngeal 2833:Tonsillar branches 2531:Intermediate nerve 2347:oculomotor nucleus 1334:. 28 November 2023 776:intelligent design 612: 504:, a branch of the 408:pharyngeal muscles 380:bilateral symmetry 310: 296:Passing under the 69:Posterior view of 3170: 3169: 3098: 3097: 3064:Posterior gastric 2959:pharyngeal plexus 2954:Pharyngeal branch 2877: 2876: 2741:Scarpa's ganglion 2729:lateral lemniscus 2724:striae medullares 2707:vestibular nuclei 2695:Vestibulocochlear 2689: 2688: 2096:978-0-00-219818-9 1992:978-0-7614-7882-9 1926:978-0-7216-8607-3 1892:978-1-84076-608-0 1807:978-0-7817-7365-2 1404:Moore KL (1992). 1373:978-91-7409-123-6 1362:Hydman J (2008). 1269:978-0-86577-838-2 1192:978-1-4160-4844-2 1126:978-0-86577-976-1 1096:978-1-58890-441-6 1064:978-1-58890-662-5 1037:978-1-58890-443-0 1010:978-0-7817-7055-2 983:978-0-07-154769-7 951:978-0-8089-2306-0 918:. Merriam-Webster 892:. Merriam-Webster 703:Ortner's syndrome 674:systematic review 663:, during which a 625:respiratory tract 537:subclavian artery 487:cricoid cartilage 468:ductus arteriosus 404:laryngeal muscles 384:arch of the aorta 349:subclavian artery 298:subclavian artery 244:intrinsic muscles 224: 223: 219: 16:(Redirected from 3200: 3116:nucleus ambiguus 3090:Solitary nucleus 3080:Nucleus ambiguus 3059:Anterior gastric 3006:Inferior cardiac 2936:Auricular branch 2931:Meningeal branch 2889: 2888: 2869:Solitary nucleus 2859:Nucleus ambiguus 2838:Lingual branches 2759: 2758: 2753:Glossopharyngeal 2676:Solitary nucleus 2556:Greater petrosal 2521: 2520: 2371:ciliary ganglion 2207: 2200: 2193: 2184: 2183: 2143: 2142: 2114: 2108: 2107: 2105: 2103: 2076: 2070: 2069: 2067: 2065: 2046: 2040: 2039: 2003: 1997: 1996: 1977: 1971: 1970: 1968: 1944: 1938: 1937: 1935: 1933: 1910: 1904: 1903: 1901: 1899: 1876: 1870: 1869: 1859: 1849: 1825: 1819: 1818: 1816: 1814: 1791: 1785: 1784: 1755: 1749: 1748: 1738: 1706: 1700: 1699: 1681: 1657: 1651: 1650: 1648: 1647: 1624: 1618: 1617: 1581: 1575: 1574: 1564: 1554: 1530: 1524: 1516: 1510: 1509: 1499: 1490:(5): 3084–3088. 1475: 1469: 1468: 1458: 1426: 1420: 1419: 1401: 1392: 1391: 1385: 1377: 1359: 1344: 1343: 1341: 1339: 1328: 1317: 1316: 1285:The Laryngoscope 1280: 1274: 1273: 1253: 1247: 1246: 1227:10.1002/ca.22011 1215:Clinical Anatomy 1210: 1204: 1203: 1201: 1199: 1176: 1170: 1169: 1167: 1165: 1148:Human embryology 1142: 1131: 1130: 1110: 1101: 1100: 1080: 1069: 1068: 1048: 1042: 1041: 1021: 1015: 1014: 994: 988: 987: 967: 956: 955: 937: 928: 927: 925: 923: 908: 902: 901: 899: 897: 882: 866: 840: 816:Andreas Vesalius 774:, as opposed to 432:solitary nucleus 412:nucleus ambiguus 341:carotid arteries 216:edit on Wikidata 213: 67: 55: 43: 42: 21: 3208: 3207: 3203: 3202: 3201: 3199: 3198: 3197: 3173: 3172: 3171: 3166: 3137: 3094: 3068: 3030: 2992: 2940: 2916: 2873: 2847: 2811:lesser petrosal 2806:tympanic plexus 2786: 2747: 2712:cochlear nuclei 2685: 2659: 2597: 2589: 2546: 2540: 2509: 2480: 2411: 2382: 2329: 2290: 2284:olfactory tract 2251: 2217: 2211: 2151: 2146: 2115: 2111: 2101: 2099: 2097: 2077: 2073: 2063: 2061: 2047: 2043: 2004: 2000: 1993: 1979: 1978: 1974: 1945: 1941: 1931: 1929: 1927: 1911: 1907: 1897: 1895: 1893: 1877: 1873: 1826: 1822: 1812: 1810: 1808: 1792: 1788: 1756: 1752: 1721:(1): CD012483. 1707: 1703: 1658: 1654: 1645: 1643: 1625: 1621: 1582: 1578: 1531: 1527: 1517: 1513: 1476: 1472: 1427: 1423: 1416: 1402: 1395: 1379: 1378: 1374: 1360: 1347: 1337: 1335: 1330: 1329: 1320: 1281: 1277: 1270: 1254: 1250: 1211: 1207: 1197: 1195: 1193: 1177: 1173: 1163: 1161: 1159: 1143: 1134: 1127: 1111: 1104: 1097: 1081: 1072: 1065: 1049: 1045: 1038: 1022: 1018: 1011: 995: 991: 984: 968: 959: 952: 938: 931: 921: 919: 910: 909: 905: 895: 893: 890:Free Dictionary 884: 883: 879: 875: 870: 869: 841: 837: 832: 800:recurrent nerve 788: 764: 748:dinosaurs, the 719: 699: 686: 649: 601: 596: 563:except for the 557: 520:), even though 483: 456:pharyngeal arch 448: 424:jugular foramen 396: 367:underneath the 333:jugular foramen 290: 278:pharyngeal arch 220: 136: 132: 128: 124: 120: 116: 112: 108: 104: 78: 58: 39: 32:thenar eminence 28: 23: 22: 18:Recurrent nerve 15: 12: 11: 5: 3206: 3196: 3195: 3190: 3185: 3168: 3167: 3165: 3164: 3163: 3162: 3154: 3148: 3146: 3139: 3138: 3136: 3135: 3130: 3125: 3124: 3123: 3118: 3109: 3107: 3100: 3099: 3096: 3095: 3093: 3092: 3087: 3082: 3076: 3074: 3070: 3069: 3067: 3066: 3061: 3056: 3051: 3046: 3040: 3038: 3032: 3031: 3029: 3028: 3027: 3026: 3021: 3013: 3008: 3002: 3000: 2994: 2993: 2991: 2990: 2985: 2980: 2979: 2978: 2973: 2963: 2962: 2961: 2950: 2948: 2942: 2941: 2939: 2938: 2933: 2927: 2925: 2918: 2917: 2915: 2914: 2913: 2912: 2907: 2898: 2896: 2886: 2879: 2878: 2875: 2874: 2872: 2871: 2866: 2861: 2855: 2853: 2849: 2848: 2846: 2845: 2840: 2835: 2830: 2825: 2820: 2819: 2818: 2813: 2808: 2797: 2795: 2788: 2787: 2785: 2784: 2783: 2782: 2777: 2768: 2766: 2756: 2749: 2748: 2746: 2745: 2744: 2743: 2733: 2732: 2731: 2726: 2719:Cochlear nerve 2716: 2715: 2714: 2709: 2700: 2698: 2691: 2690: 2687: 2686: 2684: 2683: 2678: 2673: 2667: 2665: 2661: 2660: 2658: 2657: 2656: 2655: 2650: 2645: 2640: 2635: 2628:Parotid plexus 2625: 2624: 2623: 2618: 2608: 2602: 2600: 2591: 2590: 2588: 2587: 2586: 2585: 2580: 2573:Chorda tympani 2570: 2565: 2564: 2563: 2552: 2550: 2542: 2541: 2539: 2538: 2533: 2527: 2525: 2518: 2511: 2510: 2508: 2507: 2506: 2505: 2497: 2491: 2489: 2482: 2481: 2479: 2478: 2477: 2476: 2471: 2466: 2458: 2457: 2456: 2448: 2447: 2446: 2441: 2436: 2431: 2422: 2420: 2413: 2412: 2410: 2409: 2408: 2407: 2399: 2393: 2391: 2384: 2383: 2381: 2380: 2379: 2378: 2373: 2364: 2356: 2355: 2354: 2349: 2340: 2338: 2331: 2330: 2328: 2327: 2326: 2325: 2320: 2312: 2311: 2310: 2301: 2299: 2292: 2291: 2289: 2288: 2287: 2286: 2281: 2279:olfactory bulb 2273: 2272: 2271: 2262: 2260: 2253: 2252: 2250: 2249: 2248: 2247: 2239: 2238: 2237: 2228: 2226: 2219: 2218: 2215:cranial nerves 2210: 2209: 2202: 2195: 2187: 2181: 2180: 2170: 2158: 2150: 2149:External links 2147: 2145: 2144: 2125:(2): 249–253. 2109: 2095: 2071: 2041: 2014:(3): 216–221. 2008:Neuroscientist 1998: 1991: 1972: 1959:(2): 251–256. 1939: 1925: 1905: 1891: 1871: 1820: 1806: 1786: 1750: 1701: 1672:(1–2): 15–21. 1652: 1619: 1592:(3): 619–632. 1576: 1545:(8): bvab110. 1525: 1511: 1470: 1421: 1414: 1393: 1372: 1345: 1318: 1291:(6): 983–987. 1275: 1268: 1248: 1221:(6): 722–728. 1205: 1191: 1171: 1157: 1132: 1125: 1102: 1095: 1070: 1063: 1043: 1036: 1016: 1009: 989: 982: 957: 950: 929: 903: 876: 874: 871: 868: 867: 864:Vocalis muscle 834: 833: 831: 828: 787: 784: 770:, is cited as 763: 760: 718: 715: 698: 695: 685: 682: 648: 645: 600: 597: 595: 592: 556: 553: 545:cardiac plexus 482: 479: 447: 444: 395: 392: 363:and enter the 339:alongside the 337:carotid sheath 289: 286: 222: 221: 212: 206: 205: 200: 194: 193: 188: 182: 181: 176: 170: 169: 164: 158: 157: 152: 146: 145: 141: 140: 118:thyroarytenoid 99: 95: 94: 89: 85: 84: 80: 79: 68: 60: 59: 56: 48: 47: 26: 9: 6: 4: 3: 2: 3205: 3194: 3191: 3189: 3186: 3184: 3181: 3180: 3178: 3161: 3158: 3157: 3155: 3153: 3150: 3149: 3147: 3144: 3140: 3134: 3131: 3129: 3126: 3122: 3119: 3117: 3114: 3113: 3111: 3110: 3108: 3105: 3101: 3091: 3088: 3086: 3083: 3081: 3078: 3077: 3075: 3071: 3065: 3062: 3060: 3057: 3055: 3052: 3050: 3047: 3045: 3042: 3041: 3039: 3037: 3033: 3025: 3022: 3020: 3017: 3016: 3015:Vagal trunks 3014: 3012: 3009: 3007: 3004: 3003: 3001: 2999: 2995: 2989: 2986: 2984: 2981: 2977: 2974: 2972: 2969: 2968: 2967: 2964: 2960: 2957: 2956: 2955: 2952: 2951: 2949: 2947: 2943: 2937: 2934: 2932: 2929: 2928: 2926: 2924: 2923:jugular fossa 2919: 2911: 2908: 2906: 2903: 2902: 2900: 2899: 2897: 2895: 2894:jugular fossa 2890: 2887: 2884: 2880: 2870: 2867: 2865: 2862: 2860: 2857: 2856: 2854: 2850: 2844: 2843:Carotid sinus 2841: 2839: 2836: 2834: 2831: 2829: 2826: 2824: 2821: 2817: 2816:otic ganglion 2814: 2812: 2809: 2807: 2804: 2803: 2802: 2799: 2798: 2796: 2794: 2793:jugular fossa 2789: 2781: 2778: 2776: 2773: 2772: 2770: 2769: 2767: 2765: 2764:jugular fossa 2760: 2757: 2754: 2750: 2742: 2739: 2738: 2737: 2734: 2730: 2727: 2725: 2722: 2721: 2720: 2717: 2713: 2710: 2708: 2705: 2704: 2702: 2701: 2699: 2696: 2692: 2682: 2679: 2677: 2674: 2672: 2669: 2668: 2666: 2662: 2654: 2651: 2649: 2646: 2644: 2641: 2639: 2636: 2634: 2631: 2630: 2629: 2626: 2622: 2619: 2617: 2614: 2613: 2612: 2609: 2607: 2604: 2603: 2601: 2599: 2592: 2584: 2581: 2579: 2578:lingual nerve 2576: 2575: 2574: 2571: 2569: 2566: 2562: 2559: 2558: 2557: 2554: 2553: 2551: 2549: 2543: 2537: 2534: 2532: 2529: 2528: 2526: 2522: 2519: 2516: 2512: 2504: 2501: 2500: 2498: 2496: 2493: 2492: 2490: 2487: 2483: 2475: 2472: 2470: 2467: 2465: 2462: 2461: 2459: 2455: 2452: 2451: 2449: 2445: 2442: 2440: 2437: 2435: 2432: 2430: 2427: 2426: 2424: 2423: 2421: 2418: 2414: 2406: 2403: 2402: 2400: 2398: 2395: 2394: 2392: 2389: 2385: 2377: 2374: 2372: 2368: 2365: 2363: 2360: 2359: 2357: 2353: 2350: 2348: 2345: 2344: 2342: 2341: 2339: 2336: 2332: 2324: 2321: 2319: 2316: 2315: 2313: 2309: 2306: 2305: 2303: 2302: 2300: 2297: 2293: 2285: 2282: 2280: 2277: 2276: 2274: 2270: 2267: 2266: 2264: 2263: 2261: 2258: 2254: 2246: 2243: 2242: 2240: 2236: 2235:septal nuclei 2233: 2232: 2230: 2229: 2227: 2224: 2220: 2216: 2208: 2203: 2201: 2196: 2194: 2189: 2188: 2185: 2178: 2174: 2171: 2168: 2167: 2162: 2161:cranialnerves 2159: 2156: 2153: 2152: 2140: 2136: 2132: 2128: 2124: 2120: 2113: 2098: 2092: 2088: 2087: 2082: 2075: 2059: 2055: 2051: 2045: 2037: 2033: 2029: 2025: 2021: 2017: 2013: 2009: 2002: 1994: 1988: 1984: 1983: 1976: 1967: 1962: 1958: 1954: 1950: 1943: 1928: 1922: 1918: 1917: 1909: 1894: 1888: 1884: 1883: 1875: 1867: 1863: 1858: 1853: 1848: 1843: 1839: 1835: 1831: 1824: 1809: 1803: 1799: 1798: 1790: 1782: 1778: 1774: 1770: 1766: 1762: 1754: 1746: 1742: 1737: 1732: 1728: 1724: 1720: 1716: 1712: 1705: 1697: 1693: 1689: 1685: 1680: 1675: 1671: 1667: 1663: 1656: 1642: 1638: 1634: 1630: 1623: 1615: 1611: 1607: 1603: 1599: 1595: 1591: 1587: 1580: 1572: 1568: 1563: 1558: 1553: 1548: 1544: 1540: 1536: 1529: 1522: 1515: 1507: 1503: 1498: 1493: 1489: 1485: 1481: 1474: 1466: 1462: 1457: 1452: 1448: 1444: 1440: 1436: 1432: 1425: 1417: 1415:0-683-06133-X 1411: 1407: 1400: 1398: 1389: 1383: 1375: 1369: 1366:. Stockholm. 1365: 1358: 1356: 1354: 1352: 1350: 1333: 1327: 1325: 1323: 1314: 1310: 1306: 1302: 1298: 1294: 1290: 1286: 1279: 1271: 1265: 1261: 1260: 1252: 1244: 1240: 1236: 1232: 1228: 1224: 1220: 1216: 1209: 1194: 1188: 1184: 1183: 1175: 1160: 1158:0-443-08724-5 1154: 1150: 1149: 1141: 1139: 1137: 1128: 1122: 1118: 1117: 1109: 1107: 1098: 1092: 1088: 1087: 1079: 1077: 1075: 1066: 1060: 1056: 1055: 1047: 1039: 1033: 1029: 1028: 1020: 1012: 1006: 1002: 1001: 993: 985: 979: 975: 974: 966: 964: 962: 953: 947: 943: 936: 934: 917: 913: 907: 891: 887: 881: 877: 865: 861: 857: 853: 849: 845: 839: 835: 827: 825: 821: 820:Thomas Willis 817: 813: 809: 805: 801: 797: 793: 783: 781: 777: 773: 769: 759: 757: 756: 751: 747: 742: 740: 735: 733: 728: 724: 717:Other animals 714: 712: 708: 704: 697:Other disease 694: 691: 681: 679: 675: 671: 666: 662: 658: 654: 644: 642: 638: 634: 630: 626: 622: 618: 610: 605: 591: 589: 585: 581: 576: 574: 570: 566: 562: 552: 550: 546: 542: 538: 533: 531: 527: 523: 519: 515: 511: 507: 503: 499: 494: 492: 488: 478: 476: 471: 469: 463: 461: 457: 453: 443: 441: 437: 433: 429: 425: 421: 417: 413: 409: 405: 401: 391: 389: 385: 381: 376: 374: 370: 366: 362: 361:thyroid gland 358: 354: 350: 346: 342: 338: 334: 329: 327: 323: 319: 315: 307: 303: 299: 294: 285: 283: 279: 274: 272: 268: 263: 261: 257: 253: 249: 245: 241: 240:cranial nerve 237: 233: 229: 217: 211: 207: 204: 201: 199: 195: 192: 189: 187: 183: 180: 177: 175: 171: 168: 165: 163: 159: 156: 153: 151: 147: 142: 139: 135: 131: 127: 123: 122:aryepiglottis 119: 115: 111: 107: 103: 100: 96: 93: 90: 86: 81: 76: 72: 66: 61: 54: 49: 44: 41: 37: 33: 19: 3188:Human throat 2982: 2596:stylomastoid 2548:facial canal 2502: 2404: 2318:optic chiasm 2244: 2164: 2122: 2118: 2112: 2102:February 27, 2100:. Retrieved 2085: 2074: 2064:February 27, 2062:. Retrieved 2057: 2044: 2011: 2007: 2001: 1981: 1975: 1956: 1952: 1942: 1930:. Retrieved 1915: 1908: 1896:. Retrieved 1881: 1874: 1837: 1833: 1823: 1811:. Retrieved 1796: 1789: 1764: 1760: 1753: 1718: 1714: 1704: 1669: 1665: 1655: 1644:. Retrieved 1632: 1622: 1589: 1585: 1579: 1542: 1538: 1528: 1520: 1514: 1487: 1483: 1473: 1438: 1434: 1424: 1405: 1363: 1336:. Retrieved 1288: 1284: 1278: 1258: 1251: 1218: 1214: 1208: 1196:. Retrieved 1181: 1174: 1164:February 26, 1162:. Retrieved 1147: 1115: 1085: 1053: 1046: 1026: 1019: 999: 992: 972: 941: 920:. Retrieved 915: 906: 894:. Retrieved 889: 880: 842:Namely, the 838: 812:Richard Owen 799: 789: 765: 753: 743: 736: 722: 720: 700: 687: 678:neuroimaging 665:stroboscopic 661:laryngoscopy 650: 640: 613: 577: 558: 534: 526:blood vessel 509: 497: 495: 484: 472: 464: 449: 397: 377: 372: 330: 325: 311: 275: 264: 259: 231: 227: 225: 179:A14.2.01.166 154: 40: 3183:Vagus nerve 3143:Hypoglossal 2524:Near origin 2323:optic tract 912:"Recurrent" 824:Frank Lahey 755:Supersaurus 750:vertebrates 690:lung cancer 670:medicolegal 657:parathyroid 530:anastomoses 522:anastomosis 518:ansa galeni 446:Development 345:aortic arch 324:(back) and 314:vagus nerve 302:aortic arch 236:vagus nerve 144:Identifiers 92:Vagus nerve 3177:Categories 2736:Vestibular 2648:mandibular 2621:stylohyoid 2611:Suprahyoid 2536:Geniculate 2474:mandibular 2464:ophthalmic 2417:Trigeminal 2335:Oculomotor 2079:Berry RJ, 1840:: 230736. 1813:August 12, 1646:2022-05-24 1633:StatPearls 1441:(2): 102. 1262:. Thieme. 1089:. Thieme. 1030:. Thieme. 873:References 732:stertorous 617:hoarseness 580:vocal fold 452:vertebrate 98:Innervates 3156:Branches 3104:Accessory 3024:posterior 3011:Pulmonary 2697:(CN VIII) 2638:zygomatic 2616:digastric 2499:Branches 2469:maxillary 2460:Branches 2401:Branches 2388:Trochlear 2358:Branches 2257:Olfactory 2028:1073-8584 1614:231611505 1586:Endocrine 1382:cite book 780:tetrapods 584:esophagus 481:Variation 357:esophagus 288:Structure 260:recurrent 126:esophagus 114:arytenoid 75:bronchial 3145:(CN XII) 3019:anterior 2976:internal 2971:external 2910:inferior 2905:superior 2901:Ganglia 2801:Tympanic 2780:inferior 2775:superior 2771:Ganglia 2653:cervical 2633:temporal 2517:(CN VII) 2486:Abducens 2376:inferior 2362:superior 2337:(CN III) 2223:Terminal 2139:14769313 2083:(1986). 2081:Hallam A 2052:(1841). 2036:72125962 1932:March 2, 1898:March 2, 1866:23424588 1781:17873166 1745:30659577 1688:22989215 1641:29261997 1606:33449296 1571:34258495 1506:15728196 1465:35415225 1338:3 August 1313:26161510 1305:10369294 1243:23512491 1235:22162120 1198:March 6, 922:March 1, 896:March 1, 808:homology 768:giraffes 746:sauropod 586:and the 555:Function 71:tracheal 3160:lingual 3152:Nucleus 3128:Cranial 3112:Nuclei 3106:(CN XI) 3054:Hepatic 3036:Abdomen 2892:Before 2762:Before 2755:(CN IX) 2703:Nuclei 2598:foramen 2495:Nucleus 2488:(CN VI) 2450:Course 2425:Nuclei 2397:Nucleus 2390:(CN IV) 2343:Nuclei 2314:Course 2304:Nuclei 2298:(CN II) 2275:Course 2265:Nuclei 2241:Course 2231:Nuclei 2177:youTube 1857:3477763 1736:6353246 1696:8581189 1562:8271212 1456:8984510 886:"Recur" 786:History 739:stridor 653:thyroid 647:Surgery 633:dyspnea 621:aphonia 588:trachea 418:in the 416:medulla 394:Nucleus 386:at the 353:trachea 326:currere 246:of the 167:D012009 134:trachea 83:Details 3133:Spinal 3073:Nuclei 3044:Celiac 2998:Thorax 2921:After 2885:(CN X) 2852:Nuclei 2791:After 2664:Nuclei 2643:buccal 2545:Inside 2515:Facial 2419:(CN V) 2259:(CN I) 2225:(CN 0) 2137:  2093:  2050:Owen R 2034:  2026:  1989:  1923:  1889:  1864:  1854:  1804:  1779:  1743:  1733:  1694:  1686:  1639:  1612:  1604:  1569:  1559:  1504:  1463:  1453:  1412:  1370:  1311:  1303:  1266:  1241:  1233:  1189:  1155:  1123:  1093:  1061:  1034:  1007:  980:  948:  804:goiter 684:Tumors 609:goitre 599:Injury 460:embryo 406:, and 365:larynx 248:larynx 102:Larynx 34:, see 3049:Renal 2883:Vagus 2296:Optic 2032:S2CID 1761:Chest 1692:S2CID 1610:S2CID 1309:S2CID 1239:S2CID 830:Notes 792:Galen 711:heart 707:palsy 541:aorta 514:Latin 318:Latin 282:Galen 214:[ 150:Latin 130:heart 2946:Neck 2213:The 2135:PMID 2104:2013 2091:ISBN 2066:2013 2024:ISSN 1987:ISBN 1934:2013 1921:ISBN 1900:2013 1887:ISBN 1862:PMID 1838:2012 1815:2013 1802:ISBN 1777:PMID 1741:PMID 1684:PMID 1637:PMID 1602:PMID 1567:PMID 1502:PMID 1461:PMID 1410:ISBN 1388:link 1368:ISBN 1340:2024 1301:PMID 1264:ISBN 1231:PMID 1200:2013 1187:ISBN 1166:2013 1153:ISBN 1121:ISBN 1091:ISBN 1059:ISBN 1032:ISBN 1005:ISBN 978:ISBN 946:ISBN 924:2013 898:2013 862:and 818:and 725:, a 655:and 398:The 355:and 304:and 226:The 203:6246 191:6344 174:TA98 162:MeSH 88:From 73:and 2594:At 2444:TMN 2429:PSN 2369:of 2127:doi 2123:187 2016:doi 1961:doi 1852:PMC 1842:doi 1769:doi 1765:132 1731:PMC 1723:doi 1674:doi 1594:doi 1557:PMC 1547:doi 1492:doi 1451:PMC 1443:doi 1293:doi 1289:109 1223:doi 744:In 701:In 539:or 322:re- 232:RLN 198:FMA 186:TA2 3179:: 2439:MN 2133:. 2121:. 2056:. 2030:. 2022:. 2010:. 1957:57 1955:. 1951:. 1860:. 1850:. 1836:. 1832:. 1775:. 1763:. 1739:. 1729:. 1717:. 1713:. 1690:. 1682:. 1670:83 1668:. 1664:. 1631:. 1608:. 1600:. 1590:72 1588:. 1565:. 1555:. 1541:. 1537:. 1500:. 1488:90 1486:. 1482:. 1459:. 1449:. 1437:. 1433:. 1396:^ 1384:}} 1380:{{ 1348:^ 1321:^ 1307:. 1299:. 1287:. 1237:. 1229:. 1219:25 1217:. 1135:^ 1105:^ 1073:^ 960:^ 932:^ 914:. 888:. 858:, 854:, 850:, 846:, 590:. 551:. 516:: 442:. 434:. 390:. 375:. 320:: 284:. 2206:e 2199:t 2192:v 2179:) 2175:( 2169:) 2166:X 2141:. 2129:: 2106:. 2068:. 2038:. 2018:: 2012:4 1995:. 1969:. 1963:: 1936:. 1902:. 1868:. 1844:: 1817:. 1783:. 1771:: 1747:. 1725:: 1719:1 1698:. 1676:: 1649:. 1616:. 1596:: 1573:. 1549:: 1543:5 1508:. 1494:: 1467:. 1445:: 1439:8 1418:. 1390:) 1376:. 1342:. 1315:. 1295:: 1272:. 1245:. 1225:: 1202:. 1168:. 1129:. 1099:. 1067:. 1040:. 1013:. 986:. 954:. 926:. 900:. 615:( 512:( 308:. 238:( 230:( 218:] 38:. 20:)

Index

Recurrent nerve
thenar eminence
recurrent branch of the median nerve
A diagram showing the recurrent laryngeal nerve
A diagram showing lymph glands and the recurrent laryngeal nerve
tracheal
bronchial
Vagus nerve
Larynx
posterior cricoarytenoid
lateral cricoarytenoid
arytenoid
thyroarytenoid
aryepiglottis
esophagus
heart
trachea
inferior pharyngeal constrictor muscle
Latin
MeSH
D012009
TA98
A14.2.01.166
TA2
6344
FMA
6246
Anatomical terms of neuroanatomy
edit on Wikidata
vagus nerve

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