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

Little's area (Kiesselbach's plexus) receives blood supply from all of the following EXCEPT:

  • A Anterior ethmoidal artery (ophthalmic artery)
  • B Sphenopalatine artery (maxillary artery)
  • C Greater palatine artery
  • D Posterior inferior cerebellar artery (PICA)
Correct answer: D. Posterior inferior cerebellar artery (PICA)

Explanation

Kiesselbach's plexus (Little's area) on the anterior nasal septum is a rich anastomotic vascular area receiving contributions from: anterior ethmoidal artery (from ophthalmic/internal carotid), sphenopalatine artery (from maxillary/external carotid), greater palatine artery (external carotid), and superior labial artery (from facial artery, external carotid). PICA is a posterior fossa artery supplying the cerebellum and has no contribution to the nasal septum vasculature.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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