Anatomy & Histology · single question

After thyroidectomy a patient has a hoarse voice. Which nerve was most likely injured?

  1. Recurrent laryngeal nerve
  2. Superior laryngeal nerve (external branch)
  3. Hypoglossal nerve
  4. Glossopharyngeal nerve
Show answer and explanation

Correct answer: A. Recurrent laryngeal nerve

  • A. Correct. The recurrent laryngeal nerve runs near the thyroid and supplies most intrinsic laryngeal muscles; injury causes hoarseness/vocal cord paralysis.
  • B. The external superior laryngeal branch (cricothyroid) injury causes voice fatigue/pitch change, not classic hoarseness.
  • C. The hypoglossal nerve controls tongue movement, not the vocal cords.
  • D. The glossopharyngeal nerve mediates posterior tongue sensation/taste and pharyngeal function, not phonation.

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