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采用瓦齐拉尼-阿基诺西技术在下牙槽神经阻滞麻醉时,一名5岁儿童发生局部麻醉针折断。

Local anesthesia needle breakage in a 5-year-old child during inferior alveolar nerve block with the Vazirani-Akinosi technique.

作者信息

Bacci C, Mariuzzi M L, Ghirotto C, Fusetti S

机构信息

Unit of Oral Surgery, Department of Neurosciences, University of Padua, Padua, Italy.

出版信息

Minerva Stomatol. 2012 Jul-Aug;61(7-8):337-40.

Abstract

Breakage of a local anesthetic needle in dentistry is a rare but potentially serious event. Here we describe a case of breakage of a hypodermic needle during administration of local anesthesia with a Vazirani-Akinosi mandibular nerve block in a 5-year-old uncooperative patient under moderate sedation with midazolam. The needle was localized using a fluoroscopy device and then removed under general anaesthesia. The postoperative course was unremarkable, without any neurological or vascular deficits.

摘要

牙科局部麻醉针折断是一种罕见但可能严重的事件。在此,我们描述一例在对一名5岁不合作患儿使用咪达唑仑进行中度镇静下,采用瓦齐拉尼 - 阿基诺西下颌神经阻滞进行局部麻醉时皮下注射针折断的病例。使用荧光透视设备定位针头,然后在全身麻醉下取出。术后过程顺利,无任何神经或血管功能缺损。

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