The paired posterior cricoarytenoid (PCA) muscle has three separate mu
scle bellies that differ in muscle fiber type (percentage of fast vs.
slow twitch) and electromyelographic activity, and, in addition, produ
ce different movements of the arytenoids when stimulated. An investiga
tion of the innervation of the muscle was undertaken to demonstrate th
e existence of separate functional units. The intramuscular nerve supp
ly of the PCA from five sacrificed dogs were microdissected. The intra
muscular nerves of three additional dogs were removed and stained for
acetylcholinesterase, which differentiates axons bound for fast- and s
low-twitch muscle, and sensory end organs. Three separate fascicles ar
e described entering the PCA muscle from a single branch of the recurr
ent laryngeal nerve. The three fascicles differ in axon type compositi
on and in sensory, autonomic, and motor percentages, with the ratio of
fast twitch to slow twitch varying from 0.78 to 1.5 to 1.7 (P < .05).
This variation supports separate functional capabilities for the thre
e muscle bellies of the PCA.