Kuzin A V, Gurin A N, Shcherbakov A M
Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia; I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Stomatologiia (Mosk). 2018;97(3):56-59. doi: 10.17116/stomat201897356.
Cases of dental needle fracture during mandibular block were studied in the last 10 years. Despite dental anesthesia development, the cases of needle fracture occur regularly in the world practice. Some of these complications has iatrogenic nature while others may be attributed to independent reasons like patients' sharp movement and needle manufacturing defect. In most of the cases the needle migrates to surrounding anatomical spaces making operative removing a challenging task. Subsequent surgical removing of a foreign body has severe consequences to patient in the form of a large operating injury, long-term disability and functional limitations. The article presents an algorithm for prevention and emergency care for a patient with dental needle fracture during mandibular block.
对过去10年中下颌阻滞麻醉期间牙针折断的病例进行了研究。尽管牙科麻醉技术有所发展，但在全球范围内，牙针折断的情况仍时有发生。其中一些并发症具有医源性，而另一些可能归因于患者突然移动和针具制造缺陷等独立原因。在大多数情况下，针会移入周围解剖间隙，使得手术取出成为一项具有挑战性的任务。随后对外来异物进行手术取出会给患者带来严重后果，如大面积手术创伤、长期残疾和功能受限。本文介绍了下颌阻滞麻醉期间牙针折断患者的预防和急救算法。
