The lower cranial nerves (CN. IX-XII) are responsible for the nerve supply
of the pharyngolaryngeal region. Loss of innervation is manifested by dysph
agia, aspiration, altered speech production, dyspnea and/or strider, and vi
sible loss of movement. In general electrophysiological testing should be a
pplied in every kind of paresis. Beside standard equipment for electromyogr
aphy limited special equipment is necessary. Examination under local anaest
hesia is possible and can serve as a basis for therapeutic consequences. In
this article general aspects as seen from an oto-rhino-laryngological stan
dpoint are presented.