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A nosebleed (epistaxis) usually occurs in the anterior part of the nose from an area known as Kiesselbach's plexus which consists of arteries. Woodruff's plexus is a venous plexus in the posterior part and a nosebleed here accounts for only between 5 and 10 per cent of nosebleeds. Older adults are most often affected. [5]
Kiesselbach's plexus is an anastomotic arterial network (plexus) of four or five arteries in the nose supplying the nasal septum. It lies in the anterior inferior part of the septum known as Little's area, Kiesselbach's area, or Kiesselbach's triangle. It is a common site for anterior nosebleeds.
Most nosebleeds occur in Kiesselbach's plexus, a vascular plexus in the lower front part of the septum involving the convergence of four arteries. A smaller proportion of nosebleeds that tend to be nontraumatic occur in Woodruff's plexus. Woodruff's plexus is a venous plexus of large thin-walled veins lying in the posterior part of the inferior ...
Wilhelm Kiesselbach (1 December 1839 – 4 August 1902) was a German otolaryngologist born in Hanau. From 1859 he studied medicine at the universities of Göttingen , Marburg and Tübingen . In 1877/78 he worked as assistant under Wilhelm Olivier Leube in the polyclinic at the University of Erlangen .
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The deep branches pass beneath the zygomaticus and the quadratus labii superioris, supplying them and forming an infraorbital plexus with the infraorbital branch of the maxillary nerve. These branches also supply the small muscles of the nose.
The nerve contributes to the celiac plexus, a network of nerves located in the vicinity of where the celiac trunk branches from the abdominal aorta. The greater splanchnic nerve modulates the activity of the enteric nervous system of the foregut. It stimulates contraction of the splanchnic vasculature, increasing blood pressure. [5]
The intercostal nerves are part of the somatic nervous system, and arise from the anterior rami of the thoracic spinal nerves from T1 to T11. [1] [2] The intercostal nerves are distributed chiefly to the thoracic pleura and abdominal peritoneum, and differ from the anterior rami of the other spinal nerves in that each pursues an independent course without plexus formation.