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病例报告:牙科断针在实际中的处理

Case report: management of broken dental needles in practice.

作者信息

Rahman Naomi, Clarke Mary, Stassen Leo F A

机构信息

Department of Oral and Maxillofacial Surgery and Oral Medicine Dublin Dental School and Hospital Trinity College Dublin.

出版信息

J Ir Dent Assoc. 2013 Oct-Nov;59(5):241-5.

PMID:24282863
Abstract

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.

摘要

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。

相似文献

1
Case report: management of broken dental needles in practice.病例报告:牙科断针在实际中的处理
J Ir Dent Assoc. 2013 Oct-Nov;59(5):241-5.
2
Management of needle breakage using intraoperative navigation following inferior alveolar nerve block.下牙槽神经阻滞麻醉后术中导航用于处理断针情况
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Pediatr Dent. 2002 Mar-Apr;24(2):153-6.
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Fracture of a dental needle during administration of an inferior alveolar nerve block.下牙槽神经阻滞麻醉时牙科注射针折断。
Dent Update. 2009 Jan-Feb;36(1):20-2, 25. doi: 10.12968/denu.2009.36.1.20.
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Case Report: Fractured Needle in the Pterygomandibular Space Following Administration of an Inferior Dental Nerve Block.病例报告:下牙槽神经阻滞麻醉后翼下颌间隙内针头折断
Dent Update. 2015 Apr;42(3):270-2. doi: 10.12968/denu.2015.42.3.270.
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[Needle breakage during mandibular block anaesthesia: prevention and retrieval].[下颌阻滞麻醉期间的断针:预防与取出]
Ned Tijdschr Tandheelkd. 2006 Dec;113(12):520-3.
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Needle breakage following inferior alveolar nerve block: implications and management.下牙槽神经阻滞麻醉后针头折断:影响因素及处理方法
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Retrieval of a broken needle in the pterygomandibular space.翼下颌间隙断针取出术
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Br Dent J. 2013 Aug;215(4):153-4. doi: 10.1038/sj.bdj.2013.795.
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引用本文的文献

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Neurological Complications of Local Anesthesia in Dentistry: A Review.牙科局部麻醉的神经并发症:综述
Cureus. 2023 Dec 19;15(12):e50790. doi: 10.7759/cureus.50790. eCollection 2023 Dec.
2
A Case of Broken Local Anesthetic Needle in the Pterygomandibular Space; Diagnostic Approaches and Surgical Management.翼下颌间隙内局部麻醉针折断1例;诊断方法与手术处理
Diagnostics (Basel). 2023 Sep 25;13(19):3050. doi: 10.3390/diagnostics13193050.
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Fractured needle as an unusual complication of the lingual nerve block: a case report.
折断的针头作为舌神经阻滞的一种罕见并发症:一例病例报告。
J Dent Anesth Pain Med. 2022 Aug;22(4):315-321. doi: 10.17245/jdapm.2022.22.4.315. Epub 2022 Jul 26.
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Observational and descriptive analysis of broken dental needles: a case series.观察性和描述性分析折断的牙科用针:病例系列。
Oral Maxillofac Surg. 2023 Sep;27(3):433-443. doi: 10.1007/s10006-022-01078-7. Epub 2022 Jun 6.
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Adverse effects following dental local anesthesia: a literature review.牙科局部麻醉后的不良反应:文献综述
J Dent Anesth Pain Med. 2021 Dec;21(6):507-525. doi: 10.17245/jdapm.2021.21.6.507. Epub 2021 Nov 26.
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Removal of a suture needle: a case report.缝合针取出:一例病例报告。
Maxillofac Plast Reconstr Surg. 2021 Jul 5;43(1):22. doi: 10.1186/s40902-021-00309-3.
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Navigated Recovery of Fractured Dental Injection Needles: Case Report and Suggestions for Management during Pandemic Crises.导航下取出折断的牙科注射针:病例报告及大流行危机期间的处理建议
Case Rep Dent. 2021 Jan 16;2021:8820381. doi: 10.1155/2021/8820381. eCollection 2021.
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Needle fracture as a complication of dental local anesthesia: recommendations for prevention and a comprehensive treatment algorithm based on literature from the past four decades.作为牙科局部麻醉并发症的针头断裂:基于过去四十年文献的预防建议和综合治疗方案。
Clin Oral Investig. 2019 Mar;23(3):1109-1119. doi: 10.1007/s00784-018-2525-8. Epub 2018 Jun 29.