ENT · Nose and Paranasal Sinuses (Anatomy, Sinusitis, Polyps, Epistaxis)

Little's area (Kiesselbach's plexus) is the most common site of anterior epistaxis. Which vessels do NOT contribute to this anastomotic plexus?

  • A Anterior ethmoidal artery
  • B Superior labial artery (branch of facial artery)
  • C Sphenopalatine artery
  • D Posterior ethmoidal artery
Correct answer: D. Posterior ethmoidal artery

Explanation

Kiesselbach's plexus at Little's area on the anteroinferior nasal septum receives contributions from: anterior ethmoidal artery, superior labial artery (facial artery), septal branch of the sphenopalatine artery, and greater palatine artery. The posterior ethmoidal artery supplies the roof and posterior-superior septum but does NOT contribute to Little's area — it is not part of the Kiesselbach anastomosis.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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