The Sensory Gatekeeper of the Larynx: Anatomy and Clinical Importance of the Internal Branch of the Superior Laryngeal Nerve

The internal branch of the superior laryngeal nerve (IbSLN) plays a critical role in the sensory innervation of the supraglottic larynx. It is essential for protective reflexes such as coughing and swallowing. This nerve is frequently at risk during surgeries involving the cervical region, including...

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Main Authors: Alexandra Diana Vrapciu, Iulian Brezean, Răzvan Costin Tudose, Mugurel Constantin Rusu, George Triantafyllou, Maria Piagkou
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/13/1711
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author Alexandra Diana Vrapciu
Iulian Brezean
Răzvan Costin Tudose
Mugurel Constantin Rusu
George Triantafyllou
Maria Piagkou
author_facet Alexandra Diana Vrapciu
Iulian Brezean
Răzvan Costin Tudose
Mugurel Constantin Rusu
George Triantafyllou
Maria Piagkou
author_sort Alexandra Diana Vrapciu
collection DOAJ
description The internal branch of the superior laryngeal nerve (IbSLN) plays a critical role in the sensory innervation of the supraglottic larynx. It is essential for protective reflexes such as coughing and swallowing. This nerve is frequently at risk during surgeries involving the cervical region, including thyroidectomy, carotid endarterectomy, and anterior cervical spine procedures. Injury to the IbSLN may lead to postoperative complications. A comprehensive review of the morphological and topographic characteristics of the IbSLN is presented, focusing on its anatomical course, relationships with key vascular structures, branching patterns, and clinically significant variations.
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publishDate 2025-07-01
publisher MDPI AG
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series Diagnostics
spelling doaj-art-91afb06bf73f48c9a7aa811e4ae4f7072025-08-20T03:28:33ZengMDPI AGDiagnostics2075-44182025-07-011513171110.3390/diagnostics15131711The Sensory Gatekeeper of the Larynx: Anatomy and Clinical Importance of the Internal Branch of the Superior Laryngeal NerveAlexandra Diana Vrapciu0Iulian Brezean1Răzvan Costin Tudose2Mugurel Constantin Rusu3George Triantafyllou4Maria Piagkou5Division of Anatomy, Department 1, Faculty of Dentistry, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDepartment of General Surgery, “Carol Davila” University of Medicine and Pharmacy, Cantacuzino Clinical Hospital, 030167 Bucharest, RomaniaDivision of Anatomy, Department 1, Faculty of Dentistry, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDivision of Anatomy, Department 1, Faculty of Dentistry, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDepartment of Anatomy, Faculty of Health Sciences, School of Medicine, National and Kapodistrian University of Athens, 11527 Athens, GreeceDepartment of Anatomy, Faculty of Health Sciences, School of Medicine, National and Kapodistrian University of Athens, 11527 Athens, GreeceThe internal branch of the superior laryngeal nerve (IbSLN) plays a critical role in the sensory innervation of the supraglottic larynx. It is essential for protective reflexes such as coughing and swallowing. This nerve is frequently at risk during surgeries involving the cervical region, including thyroidectomy, carotid endarterectomy, and anterior cervical spine procedures. Injury to the IbSLN may lead to postoperative complications. A comprehensive review of the morphological and topographic characteristics of the IbSLN is presented, focusing on its anatomical course, relationships with key vascular structures, branching patterns, and clinically significant variations.https://www.mdpi.com/2075-4418/15/13/1711internal branch of the superior laryngeal nervelarynxsuperior laryngeal nervesuperior laryngeal arteryvagus nerve
spellingShingle Alexandra Diana Vrapciu
Iulian Brezean
Răzvan Costin Tudose
Mugurel Constantin Rusu
George Triantafyllou
Maria Piagkou
The Sensory Gatekeeper of the Larynx: Anatomy and Clinical Importance of the Internal Branch of the Superior Laryngeal Nerve
Diagnostics
internal branch of the superior laryngeal nerve
larynx
superior laryngeal nerve
superior laryngeal artery
vagus nerve
title The Sensory Gatekeeper of the Larynx: Anatomy and Clinical Importance of the Internal Branch of the Superior Laryngeal Nerve
title_full The Sensory Gatekeeper of the Larynx: Anatomy and Clinical Importance of the Internal Branch of the Superior Laryngeal Nerve
title_fullStr The Sensory Gatekeeper of the Larynx: Anatomy and Clinical Importance of the Internal Branch of the Superior Laryngeal Nerve
title_full_unstemmed The Sensory Gatekeeper of the Larynx: Anatomy and Clinical Importance of the Internal Branch of the Superior Laryngeal Nerve
title_short The Sensory Gatekeeper of the Larynx: Anatomy and Clinical Importance of the Internal Branch of the Superior Laryngeal Nerve
title_sort sensory gatekeeper of the larynx anatomy and clinical importance of the internal branch of the superior laryngeal nerve
topic internal branch of the superior laryngeal nerve
larynx
superior laryngeal nerve
superior laryngeal artery
vagus nerve
url https://www.mdpi.com/2075-4418/15/13/1711
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