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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.
This area is richly endowed with blood vessels (Kiesselbach's plexus). This region is also known as Little's area. Bleeding farther back in the nose is known as a posterior bleed and is usually due to bleeding from Woodruff's plexus, a venous plexus situated in the posterior part of inferior meatus. [17]
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 ...
Bleeding within the confines of the mucoperichnondrium leads to a septal hematoma, where as external bleeding from Kiesselbach's plexus results in epistaxis. [3] The Kiesselbach plexus is located anterior inferior of the nasal septum, where the anastomosis of blood vessels is located.
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 .
Batson's plexus – Oscar Vivian Batson (1894–1979), American anatomist; Long thoracic nerve of Bell – Sir Charles Bell (1774–1842), Scottish surgeon-anatomist; Duct of Bellini – Lorenzo Bellini (1643–1704), Italian anatomist; Renal columns of Bertin – Exupere Joseph Bertin (1712–1781), French anatomist
The danger triangle of the face consists of the area from the corners of the mouth to the bridge of the nose, including the nose and maxilla. [1] [2]: 345–346 Due to the special nature of the blood supply to the human nose and surrounding area, it is possible for retrograde infection from the nasal area to spread to the brain, causing cavernous sinus thrombosis, meningitis, or brain abscess.