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Typically, dissolvable nasal packing is first attempted; if the bleeding persists, non-dissolvable nasal packing is the next option. Traditionally, nasal packing was accomplished by packing gauze into the nose, thereby placing pressure on the vessels in the nose and stopping the bleeding. Traditional gauze packing has been replaced with other ...
•Thudichum's nasal speculum-do-; short blades ( uses: anterior rhinoscopy - to see the Little's area, ant-inferior part of nasal septum, anterior part of inferior and middle turbinate and meatus, as well as any pathological lesion in the area; also used in certain nasal operations ) •St. Clair Thompson's long bladed nasal speculum
Ninety percent of nosebleeds (epistaxis) occur in Kiesselbach's plexus, whereas five to ten percent originate from Woodruff's plexus. [3] It is exposed to the drying effect of inhaled air. [3] It can also be damaged by trauma from a finger nail (nose picking), as it is fragile. [3] [4] It is the usual site for nosebleeds in children and young ...
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. [6]
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In children, the most common complication related to nose picking is epistaxis (nosebleed). Infections or perforation of the nasal septum are uncommon, but can occur. [14] Nose picking, however, should not affect the sense of smell, as the nasal cavity where the olfactory nerves are located is too high up to reach.
The sphenopalatine artery is the artery commonly responsible for epistaxis (difficult to control bleeding of the nasal cavity, especially the posterior nasal cavity). [3] In severe nose bleed cases which do not stop after intense packing of anti-clotting agents, the sphenopalatine artery can be ligated (clipped and then cut) during open surgery ...
The Kiesselbach plexus is located anterior inferior of the nasal septum, where the anastomosis of blood vessels is located. [4] Normal nasal mucosa is pink and healthy appearing, without ulcerations, crusting, or bleeding. Some common, abnormal variations include septal deviations, spurs, and an enlarged, aerated middle turbinate.