Question:
A 78-year-old male, known case of diabetes mellitus and hypertension presents with nasal bleeding. Initial management such as packing was not successful in controlling the bleed. Which artery should be ligated to control the bleeding?
A 78-year-old male, known case of diabetes mellitus and hypertension presents with nasal bleeding. Initial management such as packing was not successful in controlling the bleed. Which artery should be ligated to control the bleeding?
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Uncontrolled posterior epistaxis commonly requires sphenopalatine artery ligation.
Updated On: Aug 27, 2026
- Sphenopalatine artery
- Anterior ethmoidal artery
- Posterior ethmoidal artery
- Greater palatine artery
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The Correct Option is A
Solution and Explanation
Concept:
Severe posterior epistaxis in elderly patients commonly arises from branches of the sphenopalatine artery. If packing fails, sphenopalatine artery ligation may be required.
Step 1: Identify type of epistaxis.
Elderly patient with uncontrolled nasal bleeding suggests posterior epistaxis.
Step 2: Recall main artery.
The main artery responsible for posterior epistaxis is: \[ \text{Sphenopalatine artery} \]
Step 3: Choose artery for ligation.
Therefore, ligation of the sphenopalatine artery is done.
Step 1: Identify type of epistaxis.
Elderly patient with uncontrolled nasal bleeding suggests posterior epistaxis.
Step 2: Recall main artery.
The main artery responsible for posterior epistaxis is: \[ \text{Sphenopalatine artery} \]
Step 3: Choose artery for ligation.
Therefore, ligation of the sphenopalatine artery is done.
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