折断牙针经宫颈迁移：一例病例报告及文献综述

Transcervical migration of a broken dental needle: a case report and literature review.

作者信息

Altay Mehmet Ali, Jee-Hyun Lyu Diana, Collette David, Baur Dale A, Quereshy Faisal A, Teich Sorin T, Gonzalez Ariadne E

机构信息

Doctor of Oral and Maxillofacial Surgery, Akdeniz University, Faculty of Dentistry, Antalya, Turkey; Research Fellow, Department of Oral and Maxillofacial Surgery, Case Western Reserve University School of Dental Medicine, Cleveland, OH, USA.

Former Intern, Department of Oral and Maxillofacial Surgery, Case Western Reserve University School of Dental Medicine; Resident, Department of Oral and Maxillofacial Surgery, University of Minnesota School of Dentistry, Minneapolis, MN, USA.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Dec;118(6):e161-5. doi: 10.1016/j.oooo.2014.04.001. Epub 2014 Apr 18.

DOI:10.1016/j.oooo.2014.04.001

PMID:24915958

Abstract

Although needle breakage is a rare event in dentistry, the occurrence can cause significant distress to the patient and the clinician. Taking appropriate measures to prevent this mishap is best. However, when this event occurs, appropriate planning and retrieval of the needle can lessen the detrimental effects. In this report, we document the migration and retrieval of a broken dental needle that traveled from the medial ramus of the mandible to the posterior cervical space. This report emphasizes the importance of proper local anesthesia techniques, as well as preventive measures, localization methods, and the principles of surgical approaches for the removal of broken needles.

摘要

尽管断针在牙科中是罕见事件，但这种情况会给患者和临床医生带来极大困扰。采取适当措施预防这种意外情况是最好的。然而，当这种情况发生时，对断针进行适当的规划和取出可以减轻有害影响。在本报告中，我们记录了一根折断的牙科针从下颌骨内侧支迁移至颈后间隙并被取出的过程。本报告强调了正确局部麻醉技术的重要性，以及预防措施、定位方法和取出断针手术方法的原则。