Unfortunately, the boy was involved in a fight the next day and again developed severe epistaxis, which again was difficult to control.
Not only is there a rich venous plexus around Kiesselbach’s area, but there is also a significant arterial supply, which is provided from the nasal septal branches of the posterior and anterior ethmoidal arteries and the branches of the greater palatine artery. These are supplemented from the septal branches of the superior labial artery.
In most cases treatment is conservative.