
Epistaxis(nosebleed)

Introduction Bleeding flowes from nose is called epistaxis . It is fairly common and is seen in all age groups-children, adults and older people. Most patients who develop epistaxis do not seek medical attention because the bleed is minor and usually stops quickly. But sometimes it treated as an emergency

Introduction Bleeding flowes from nose is called epistaxis . It is fairly common and is seen in all age groups-children, adults and older people. Most patients who develop epistaxis do not seek medical attention because the bleed is minor and usually stops quickly. But sometimes it treated as an emergency

Introduction Epistaxis is a symptom and not a disease. We should pay attentiong to it to find any local or constitutional cause

◼ External carotid system: Branches of ophthalmic artery ①Anterior ethmoidal ②Posterior ethmoidal ◼ Internal carotid system: 1 Branches of facial artery: ③superior labial artery 2 Branch of internal maxillary artery ④sphenopalatine artery ⑤greater palatine artery ⑥infraorbital artery Blood supply of nose

◼ Little’s Area: In the anterior inferior part of nasal septum. Four arteries-—anterior ethmoidal, septal branch o f superior labial, septal branch o f sphenopalatine and the greater palatine, anastomose here t o f o rm a vascular plexus called "Kiesselbach'splexus". Blood supply of nose

◼ Woodruff’s Area: This vascular area is situated under the posterior end of inferior turbinate where sphenopalatine artery anastomoses with posterior pharyngeal artery. Blood supply of nose

Little’s area 1. anterior ethmoidal 2. Septal branch of anastomose superior labial 3. Septal branch of sphenopalatine 4.Septal branch of the greater palatine

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