[The cricopharyngeal muscle and the laryngeal nerves: contribution to the functional anatomy of swallowing]

Morphologie. 2009 Aug-Sep;93(301):35-41. doi: 10.1016/j.morpho.2009.07.001. Epub 2009 Oct 7.
[Article in French]

Abstract

Objectives: The aim of our study has been to describe the cricopharyngeal muscle and its nerve supply from the recurrent laryngeal nerve and from the superior laryngeal nerve.

Methods: Six normal adult human pharynges (12 sides) obtained from cadavers were studied. Micro-dissections were carried out thanks to a Leica microscope. Measures were obtained with a micro-digital caliber.

Results and conclusion: The morphological feature of the cricopharyngeal muscle (CPM) showed three different muscular bundles: superior oblique muscle fibers are joining the inferior pharyngeal constrictor muscle, horizontal circular muscle fibers are 11 to 12mm high, and 3mm thick, inferior oblique muscle fibers are joining external layer of the superior oesophagus. The recurrent laryngeal nerve through its dorsal branch supplies the posterior part of the muscular bundles of the CPM. The superior laryngeal nerve by its lateral branch supplies the anterior part of the CPM. So this double vagal innervation of the CPM from superior and inferior laryngeal nerves participates in the laryngo-pharyngeal coordination specially for swallowing.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Adult
  • Deglutition / physiology*
  • Esophageal Sphincter, Upper / innervation
  • Esophageal Sphincter, Upper / physiology
  • Humans
  • Laryngeal Nerves / anatomy & histology*
  • Laryngeal Nerves / physiology
  • Pharyngeal Muscles / anatomy & histology*
  • Pharyngeal Muscles / innervation
  • Pharyngeal Muscles / physiology
  • Pharynx / anatomy & histology
  • Pharynx / physiology
  • Recurrent Laryngeal Nerve / anatomy & histology
  • Recurrent Laryngeal Nerve / physiology
  • Vagus Nerve / physiology