This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Ear, Subject name: ENT
TESPAL is used in management of 
Select and explain. 
A. CSOM, B. Epistaxis, C. Ulcerative tonsilitis, D. Ca larynx
B: Epistaxis
Answer: B: Epistaxis 
Explanation: Tespal: (Trans nasal endoscopic sphenopalatine aery ligation) Indication: Epistaxis not responding to conventional conservative management. Posterior epistaxis Complications of TESPAL: 1. Palatal numbness 2. Sinusitis 3. Decreased lacrimation 4. Septal perforation 5. Inferior turbinate necrosis Ref otolaryngology dhingra 3e