Mohammed Hassen, Shallik Nabil, Barsoum Mina, Al Abdulla Majid, Dogan Zynel, Ahmed Hassan Haidar, Moustafa Abbas
Hamad Medical Corporation, ENT-ORL Department, Doha, Qatar.
Hamad Medical Corporation, Anaesthesia, ICU and Perioperative Medicine Department, Doha, Qatar.
J Dent Anesth Pain Med. 2020 Apr;20(2):83-87. doi: 10.17245/jdapm.2020.20.2.83. Epub 2020 Apr 27.
Foreign body (FB) ingestion is commonly seen in the ear nose and throat (ENT) field, with different presentations and sequelae. FBs can arrest in the upper aerodigestive tract or continue further down into either the airway tract to the bronchus or the digestive tract to the intestines. The pathway of an FB depends on the size and shape of the FB and how sharp its edges are. Since the 20th century, the use of disposable stainless-steel needles in the oral cavity has proven to be an effective and safe method for performing various intraoral procedures like dental infiltration or a root canal wash. Complications from their use are rare. Generally, dental needle breakages are caused by patients biting the needle, incorrect injection techniques, or inadequate preventative measures. The sudden movement of a patient during a procedure is one of the most common causes of breakage. Occasionally, needles are swallowed during dental procedures such as a root canal. Here, we report a case of a patient that swallowed a broken needle during a dental procedure. A few days later, the patient presented with neck pain, swelling, and a FB sensation. When the patient presented, she claimed that her symptoms had onset after consuming a meal containing duck meat. Initially, the patient was diagnosed as having ingested a duck bone. However, intraoperatively, the FB was discovered to be an injection needle that had migrated from the throat to the neck.
异物(FB)吞食在耳鼻喉(ENT)领域较为常见,有不同的表现形式和后遗症。异物可能停留在上呼吸道消化道,或进一步下行进入气道至支气管,或进入消化道至肠道。异物的路径取决于异物的大小、形状及其边缘的锐利程度。自20世纪以来,在口腔中使用一次性不锈钢针已被证明是一种有效且安全的方法,可用于进行各种口腔内操作,如牙科浸润或根管冲洗。使用这些针引起的并发症很少见。一般来说,牙科针折断是由患者咬针、不正确的注射技术或预防措施不足引起的。手术过程中患者的突然移动是折断的最常见原因之一。偶尔,在根管治疗等牙科手术过程中针会被吞下。在此,我们报告一例患者在牙科手术过程中吞下一根折断的针的病例。几天后,患者出现颈部疼痛、肿胀和异物感。患者就诊时称,她的症状在食用了一顿含有鸭肉的饭后开始出现。最初,患者被诊断为吞食了鸭骨。然而,在手术中,发现异物是一根从喉咙迁移到颈部的注射针。