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Nasal packing is typically categorized into anterior nasal packing and posterior nasal packing. [22] Nasal packing may also be categorized into dissolvable and non-dissolvable types. Dissolvable nasal packing materials stop bleeding through use of thrombotic agents that promote blood clots, such as surgicel and gelfoam. [4]
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]
•Tilly's nasal dressing forceps: for use in the anterior part of the nasal cavity Jmost importantly, anterior nasal packing; larger than Hartmann's, serrated tip & box joint ( uses: all nasal operations; nasal packing; removal of fish bone ) •Tilly's aural dressing forceps: for use in the ear canal; larger than Hartmann's •Hartmann's ...
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.
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 internal nasal valve is bounded laterally by the caudal border of the lateral nasal cartilage, medially by the dorsal nasal septum, and inferiorly by the anterior border of the inferior turbinate. [6] The internal nasal valve is the narrowest region of the nasal cavity and is the primary site of nasal resistance. [7]
The two horizontal plates join at the midline and form the posterior nasal spine that gives attachment to the musculus uvulae in the uvula. The two maxilla bones join at the base of the nose at the lower nasal midline between the nostrils, and at the top of the philtrum to form the anterior nasal spine. This thin projection of bone holds the ...
The dilator naris muscle is divided into posterior and anterior parts. The dilator naris posterior is placed partly beneath the levator labii superioris muscle. It arises from the margin of the nasal notch of the maxilla, and from the minor alar cartilages. It is inserted into the skin near the margin of the nostril. The dilator naris anterior ...