This area is richly endowed with blood vessels (Kiesselbach
"The blood supply to the nose is very vigorous - there are five arteries that lead to the front of the nose (kiesselbach
Here blood vessels form a plexus called Kiesselbach
plexus under thin nasal mucosa4.
More than 90 per cent of bleeds occur anteriorly and arise from the Little's area, where the Kiesselbach
plexus forms on the septum (Villwock & Jones, 2013).
Anterior epistaxis commonly arises from a plexus of blood vessels called Kiesselbach
's plexus which is an extensive vascular anastomosis along the anterior part of nasal septum5.
After returning home, the woman sought care at the Tropical Medicine Centre at University Hospital Ramon y Cajal in Madrid, Spain, where a tick attached to the anteroinferior part of the left nasal septum (the Kiesselbach
area) was extracted with forceps during rhinofibroscopy.
The most common symptoms are: nasal crusts, rhinorrhea, erythematous nasal mucosa and deformation of the nasal pyramid caused by Kiesselbach
plexus ischemia of the anterior septum.
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Nasal bleeding is a common disorder in children that is frequently caused by irritation in the Kiesselbach
plexus (also known as Little's area).