What They Forgot to Tell You... Cauterising Little'sArea

Epistaxes arising from Little's area (or Kiesselbach's plexus) often follow infection in the nares. Trying an appropriate topical antibiotic first may help.

If this fails, get a good view of the nasal septum with a speculum and identify the bleeding point. There should be no bleeding at the time of procedure. Apply a topical anaesthetic with cotton wool held in forceps.

Cauterise one side at a time. Apply silver nitrate for about 45 seconds using a fine silver nitrate stick. There will be some whiteness due to vessel spasm and there may be some bleeding in the following few days.

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