Rahman Naomi, Clarke Mary, Stassen Leo F A
Department of Oral and Maxillofacial Surgery and Oral Medicine Dublin Dental School and Hospital Trinity College Dublin.
J Ir Dent Assoc. 2013 Oct-Nov;59(5):241-5.
Breakage of a dental needle is a rare but significant complication of local anaesthetic injections, which causes great anxiety for the patient and dental surgeon, and necessitates investigations and further treatment. It may have important medico-legal considerations. We describe a case where a dental needle broke during the routine administration of an inferior alveolar nerve block for a dental procedure. This broken needle subsequently migrated to the lateral aspect of the neck, confirming that these 'migrations' do occur. We discuss the various causes, and clinical and dentolegal implications, as well as methods of treatment.
牙科注射针折断是局部麻醉注射中一种罕见但严重的并发症,会给患者和牙科医生带来极大的焦虑,需要进行检查和进一步治疗。它可能涉及重要的医疗法律问题。我们描述了一例在牙科手术中进行下牙槽神经阻滞常规注射时牙科注射针折断的病例。这根折断的针随后迁移至颈部外侧,证实了这种“迁移”确实会发生。我们讨论了各种原因、临床及牙科学法律影响以及治疗方法。