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Laryngospasm mechanism. Definition. Laryngospasm: Stimulation of vagus nerve during light anesthesia (Superior Laryngeal n, pharyngeal br of vagus, recurrent laryngeal below cords). Muscles involved: lateral cricoarytenoid, thyroarytenoids (both from recurrent laryngeal), crycrothyroid (from external branch of superior laryngeal).
VNS causes stimulation of the superior and recurrent laryngeal nerves and is associated with problems ranging from alteration of voice (66%), coughing (45%), pharyngitis (35%) and throat pain (28%) and hoarseness (very common) to frank laryngeal muscle spasm and upper airway obstruction (rare).