Recurrent laryngeal nerve supplies all muscles except:
The larynx is innervated by both the recurrent laryngeal nerve and the superior laryngeal nerve. The superior laryngeal nerve splits into internal and external branches. The internal branch provides sensory innervation to the supraglottic region, and the external branch innervates the cricothyroid muscle. The recurrent laryngeal nerve, on the other hand, innervates most of the intrinsic muscles of the larynx.
The intrinsic muscles include the posterior cricoarytenoid, lateral cricoarytenoid, transverse arytenoid, oblique arytenoid, thyroarytenoid, and the vocalis. Wait, the cricothyroid is innervated by the external branch of the superior laryngeal nerve, so it's the exception here. So the correct answer should be the cricothyroid muscle.
Now, the options aren't listed, but common distractors would be other muscles like the posterior cricoarytenoid, which is the main abductor of the vocal cords. The thyroarytenoid is part of the recurrent laryngeal nerve supply. The vocalis is also innervated by the recurrent nerve. So the cricothyroid is the exception.
I need to make sure that the explanation clearly states that the cricothyroid is the only muscle supplied by the external branch of the superior laryngeal nerve. The other muscles are all under the recurrent laryngeal nerve. The clinical pearl here is that injury to the recurrent laryngeal nerve would affect all muscles except the cricothyroid, leading to specific symptoms like vocal cord paralysis. That's a high-yield point for exams.
**Core Concept**
The recurrent laryngeal nerve (RLN) innervates all intrinsic laryngeal muscles **except** the cricothyroid muscle, which is supplied by the external branch of the superior laryngeal nerve (SLN). This distinction is critical for understanding laryngeal motor control and nerve injury presentations.
**Why the Correct Answer is Right**
The RLN, a branch of the vagus nerve (CN X), provides motor innervation to **all intrinsic laryngeal muscles** (posterior cricoarytenoid, lateral cricoarytenoid, thyroarytenoid, transverse arytenoid, oblique arytenoid, and vocalis). The **cricothyroid muscle**, however, is uniquely innervated by the **external branch of the superior laryngeal nerve**. This muscle functions to tense the vocal cords, and its sparing in RLN lesions is a key clinical differentiator.
**Why Each Wrong Option is Incorrect**
**Option A: Posterior cricoarytenoid** β Incorrect. This is the **primary abductor** of the vocal cords and is innervated by the RLN.
**Option B: Thyroarytenoid** β Incorrect. This muscle, which tenses the vocal cords, is supplied by the RLN.
**Option C: Vocalis**