Injury to superior laryngeal nerve causes:
## Core Concept
The superior laryngeal nerve is a branch of the vagus nerve (cranial nerve X) that provides sensory innervation to the laryngeal mucosa above the vocal cords and motor innervation to the cricothyroid muscle. Injury to this nerve can affect voice production and laryngeal sensation.
## Why the Correct Answer is Right
The correct answer, , is related to the function of the cricothyroid muscle, which is innervated by the external branch of the superior laryngeal nerve. This muscle is responsible for tensing the vocal cords, thereby increasing the pitch of the voice. Damage to the superior laryngeal nerve, specifically its external branch, leads to weakness or paralysis of the cricothyroid muscle. This results in a voice that is not only hoarse but also has a reduced pitch, as the vocal cords cannot be tensed properly.
## Why Each Wrong Option is Incorrect
* **Option A:** - This option is incorrect because the primary issue with superior laryngeal nerve injury is not related to swallowing difficulties, which are more commonly associated with injuries to other nerves.
* **Option B:** - This option is incorrect as the sensory component of the superior laryngeal nerve primarily affects the area above the vocal cords, and its injury does not lead to complete loss of sensation to the larynx.
* **Option D:** - This option is incorrect because the inability to abduct the vocal cords is associated with injury to the recurrent laryngeal nerve, not the superior laryngeal nerve.
## Clinical Pearl / High-Yield Fact
A key clinical point to remember is that injury to the superior laryngeal nerve can lead to a condition where the voice pitch is lowered due to the loss of cricothyroid muscle function. This can be particularly noticeable in professional voice users, such as singers or voice actors.
## Correct Answer Line
**Correct Answer: C.**