Origin
Same except parasympathetic from dorsal nucleus vagus
Course
Branches
2 branches from superior ganglion:
1. Meningeal
2. Auricular
2 branches from inferior ganglion:
1. Pharyngeal
2. Superior laryngeal
2 cardiac branches:
1. Superior
2. Inferior
Recurrent laryngeal
Meningeal
Posterior cranial fossa dura
Auricular
Pharyngeal course
Passes between ECA and ICA ending in pharyngeal plexus on middle constrictor muscle
Pharyngeal supply
Superior laryngeal
Passes deep to ECA and ICA dividing into:
1. Internal laryngeal
2. External laryngeal
Internal laryngeal
Pierces thyrohyoid membrane to larynx mucosa above vocal cords and epiglottis
External laryngeal
Accompanies superior thyroid artery to circothyroid or larynx
External laryngeal supply
Gives a twig to pharynx inferior constrictor
Cardiac branches
To cardiac plexus heart
Recurrent laryngeal right
Arises from right vagus in root of neck (hooking around subclavian artery)
Recurrent laryngeal left
Arises from left vagus in thorax (hooking around arch aorta)
Recurrent laryngeal
Both ascend between trachea and esophagus entering larynx deep to inferior constrictor lower border
Recurrent laryngeal branches
Motor
Sensory
Mucosa larynx below vocal cords