Nerve supply of larynx above level of vocal cord
**Core Concept**
The nerve supply of the larynx above the level of the vocal cord is primarily mediated by the superior laryngeal nerve, which is a branch of the vagus nerve. This nerve is responsible for the sensory innervation of the laryngeal mucosa above the vocal folds, as well as the motor innervation of the cricothyroid muscle.
**Why the Correct Answer is Right**
The superior laryngeal nerve arises from the vagus nerve and divides into two branches: the internal laryngeal nerve and the external laryngeal nerve. The internal laryngeal nerve provides sensory innervation to the laryngeal mucosa above the vocal folds, including the epiglottis, valleculae, and the mucosa of the laryngeal vestibule. The external laryngeal nerve, on the other hand, innervates the cricothyroid muscle, which is responsible for tensing the vocal cords. This distinction is crucial in understanding the nerve supply of the larynx.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is incorrect because the recurrent laryngeal nerve is primarily responsible for the motor innervation of the intrinsic muscles of the larynx below the level of the vocal cord, not above.
* **Option B:** This option is incorrect because the vagus nerve is the parent nerve of the superior laryngeal nerve, but it is not the direct nerve supply to the larynx above the vocal cord.
* **Option D:** This option is incorrect because the phrenic nerve is primarily responsible for the motor innervation of the diaphragm, not the larynx.
**Clinical Pearl / High-Yield Fact**
The superior laryngeal nerve is often damaged during thyroid surgery, leading to hoarseness of voice due to the paralysis of the cricothyroid muscle. This highlights the importance of preserving the superior laryngeal nerve during surgical procedures involving the thyroid gland.
**Correct Answer:** C.