Objective To evaluate the treatment of middle-aged and gerontial serious haemorrhagia nasalis with hypodesis of external carotid artery or anterior ethmoidal arter.Methods A retrospective study was performed to investigate treatment of 16 cases of middle-aged and gerontial serious haemorrhagia nasalis,hypodesis of external carotid artery or anterior ethmoidal arter was underwent according to the location and general condition of all cases.Results Satisfactory results were achieved without obviously complication in 34 cases(94.4%).Conclusion Satisfactory results could be achieved by hypodesis of external carotid artery or anterior ethmoidal arter,to treat middle-aged and gerontial serious haemorrhagia nasalis.