<prompt> TESPAL is used in management ofCSOMEpistaxisUlcerative tonsilitisCa larynx  <response>: 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 