The lateral cricoarytenoid (LCA) muscle is one of the adductors of the
vocal cords; however, some investigators believe that the lateral edg
e of the muscle may be involved in abduction. The possibility of funct
ionally distinct compartments within the LCA wag investigated by obser
ving the pattern of the intramuscular nerve supply. This technique has
previously clearly demonstrated neural compartments in the posterior
cricoarytenoid, thyroarytenoid and cricothyroid muscles. Five adult hu
man larynges were processed by the Sihler's stain which clears all sof
t tissue while counterstaining the nerves. The results of our study sh
owed that the innervation pattern of the human LCA muscle, is composed
of a homogeneous nerve plexus localized to the middle region of the m
uscle. This pattern correlates with the location of motor endplates de
scribed by prior investigators. The consistent neural pattern suggests
that the LCA is composed of a single neuromuscular compartment.