Autonomic and peptidergic innervation of the human larynx (vocal cords
, ventricular folds, epiglottis, subglottic region and recurrent nerve
s) was studied by application of single and double immunocytochemistry
and radioimmunoassay. In all tissues investigated, immunoreactivities
for a variety of regulatory peptides were detected and included vasoa
ctive intestinal polypeptide (VIP), peptide histidine methionine (PHM)
, helospectin, neuropeptide Y (NPY), C-flanking peptide of NPY (C-PON)
, calcitonin gene-related peptide (CGRP), substance P and neurokinin A
. In the recurrent nerves, only a few peptide-immunoreactive nerve fib
ers were found. The laryngeal region of the epiglottis and the subglot
tic region showed characteristic corpuscular nerves containing substan
ce P and CGRP running underneath and within the epithelium.