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If pressure and chemical cauterization cannot stop bleeding, nasal packing is the mainstay of treatment. [21] 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.
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]
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 ...
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.
•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
The posterior septal artery passes through the sphenopalatine foramen to enter the nasal cavity. [2] To enter the posterior border of the nasal septum, the posterior septal artery travels along the anterior wall of the sphenoid sinus passing by the sphenoid ostium and choana. [1] This part of the posterior septal artery is called the sphenoidal ...
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 sphenopalatine artery passes through the sphenopalatine foramen into the cavity of the nose, at the back part of the superior meatus.Here it gives off its posterior lateral nasal branches which spread forward over the conchæ and meatuses, anastomose with the ethmoidal arteries and the nasal branches of the descending palatine, and assist in supplying the frontal, maxillary, ethmoidal, and ...
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