Greater Palatine Foramen

The goal of this pilot randomized controlled trial is to compare pain relief efficacy while using nasal packing versus greater palatine foramen block (GPFB) in the management of acute episodes of epistaxis. The main questions it aims to answer are: Does GPFB have less potential to inflict pain when dealing with hemostasis with epistaxis, utilizing a pre-validated 10-point visual analog scale (VAS)? Was hemostasis management more effective in either technique? Researchers will compare anterior nasal packing to greater palatine foramen block using 2% xylocaine with adrenaline. Patients will receive any of the hemostatic interventions at the time of the acute epistaxis episode. The questionnaire will be administered 24 hours post-intervention.

The primary objective of this study is to quantify the relationship between palatal morphology-including vault height, angle, width, and palatal bone thickness-and the dimensions and position of the greater palatine canal (GPC) and foramen (GPF). Secondary objectives include evaluating how age and sex relate to GPC/GPF measurements, as well as describing the prevalence and anatomical variations, including shapes, of accessory (lesser) palatine canals and foramina.