“…We generally are not consciously thinking about all the changes we have to make to our lungs, larynx, or articulators to produce or alter our voice. The nervous system is responsible for this subconscious control, and although there are many nerves involved in voice creation (cranial nerves 5,7,11,10,12), it is cranial nerve 10 (the vagus nerve) that catches our attention, especially considering its close relationship to the heart. The importance of this nerve in voice control is evident in patients with refractory epilepsy who have vagal nerve stimulators implanted: the most described consequence (complication) of such stimulators is voice change.…”