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Writer's pictureDaily MCQ

Epistaxis

Updated: Apr 29


BruceBlaus CC BY-SA 4.0

In the management of epistaxis (nosebleed), which anatomical area of the nasal cavity is most commonly the source of anterior bleeds?



Select the most appropriate answer

  • 0%Inferior meatus

  • 0%Superior turbinate

  • 0%Little's area (Kiesselbach's plexus)

  • 0%Posterior nasal septum


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Little's area, also known as Kiesselbach's plexus, is an anatomical region in the anteroinferior part of the nasal septum, primarily responsible for anterior epistaxis. 


The area is characterised by a rich vascular network formed by the confluence of several arteries. These include branches from the sphenopalatine artery, the greater palatine artery, the superior labial artery, the anterior ethmoidal artery and the posterior ethmoidal artery. 


Bleeding in this area is typically manageable by simple first aid such as pinching the soft part of the nose for 10 minutes. If this does not work then topical vasocontrictors, cauterisation or nasal packing can be attempted. 



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