Which of the following laryngeal muscle is supplied by external laryngeal nerve?
**Core Concept:** The external laryngeal nerve (cervical branch of the vagus nerve) is responsible for supplying motor nerves to the anterior two-thirds of the inferior pharyngeal constrictor muscle and the aryepiglottic muscles.
**Why the Correct Answer is Right:** The correct answer is D, the superior constrictor muscle, because it is the laryngeal muscle that is innervated by the external laryngeal nerve. The superior constrictor muscle is located in the anterior two-thirds of the inferior pharyngeal constrictor muscle complex and plays a crucial role in maintaining airway patency during swallowing and speaking.
**Why Each Wrong Option is Incorrect:**
A. The inferior pharyngeal constrictor muscle is incorrect because it is supplied by the pharyngeal branch of the vagus nerve, not the external laryngeal nerve.
B. The aryepiglottic muscles are incorrect because they are supplied by the recurrent laryngeal nerve, not the external laryngeal nerve.
C. The cricothyroid muscle is incorrect as it is supplied by the recurrent laryngeal nerve, not the external laryngeal nerve.
**Why the Superior Constrictor Muscle is Correct:**
The superior constrictor muscle is part of the pharyngolaryngeal striated muscles and is innervated by the external laryngeal nerve, which is a branch of the vagus nerve (cervical C1-C2). This muscle plays a vital role in maintaining the airway during swallowing and speaking. The external laryngeal nerve stimulates the muscle fibers, causing them to contract, thereby narrowing the airway and preventing food or secretions from entering the airway.
**Clinical Pearl:** Understanding the anatomy and innervation of laryngeal muscles is crucial for safe and effective management of patients, particularly during procedures such as intubation and tracheostomy, where knowledge of laryngeal nerves and their respective innervations is vital to prevent injury and subsequent complications.