A Case of Broken Local Anesthetic Needle in the Pterygomandibular Space; Diagnostic Approaches and Surgical Management

被引:0
|
作者
Malkawi, Ziad [1 ]
Alayeh, Alaa [1 ]
Alshawa, Abedalaziz [1 ]
Shaban, Ola [1 ]
Al Saraireh, Omar [2 ]
Malkawi, Hashem [3 ]
Babkair, Hamzah [4 ]
Abdouh, Ismail [4 ]
Dar-Odeh, Najla [1 ,4 ]
机构
[1] Univ Jordan, Sch Dent, Amman 11942, Jordan
[2] King Hussein Canc Ctr, Amman 11941, Jordan
[3] Ireland Med Univ Bahrain, Royal Coll Surg, Manama 15503, Bahrain
[4] Taibah Univ, Coll Dent, Al Madinah Al Munawara 43353, Saudi Arabia
关键词
broken needle; CBCT; dental anesthesia; inferior alveolar nerve block; pterygomandibular space; DENTAL NEEDLE; FOREIGN-BODY; RETRIEVAL;
D O I
10.3390/diagnostics13193050
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Needle fracture during dental local anesthetic injections is a rare but significant, potentially serious complication. Various approaches for the location and removal of broken needles have been described; however, there are several difficulties and concerns related to the potential complications and critical anatomic challenges peculiar to the head and neck region. In this case, we describe the diagnostic approaches utilized in locating a broken needle that migrated in the pterygomandibular space following gag reflex, and sudden head movement of a middle-aged male patient. A meticulous diagnostic approach was employed to locate the needle utilizing CBCT scan, CT scan with contrast, and C-arm X-ray machine. The needle was successfully retrieved using an angled hemostat inserted through an oral incision, guided by a C-arm X-ray machine and ENT endoscopic instruments. While careful planning could prevent many complications that may arise during oral surgical procedures, inadvertent events leading to serious complications should be addressed using the appropriate and timely diagnostic techniques pre-and intra-operatively.
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页数:9
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