<prompt> TESPAL done in -Severe epistaxisRhinophymaCA Maxillary SinusMultiple Antrochoanal polyps  <response>: Ans. isa i.e., Severe epistaxisManagement of intractable spontaneous epistaxis.TESPAL - transnasal endoscopic sphenopalatine aery ligationIndication:Epistaxis not responding to conventional conservative management.Posterior epistaxis 