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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

Navigated Recovery of Fractured Dental Injection Needles: Case Report and Suggestions for Management during Pandemic Crises.

作者信息

Schorn Lara, Sproll Christoph, Depprich Rita, Kübler Norbert R, Rana Majeed, Singh Daman D, Lommen Julian

机构信息

Department of Oral, Maxillofacial and Facial Plastic Surgery, University Hospital Düsseldorf, Düsseldorf, Germany.

出版信息

Case Rep Dent. 2021 Jan 16;2021:8820381. doi: 10.1155/2021/8820381. eCollection 2021.

DOI:10.1155/2021/8820381
PMID:33532099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7816756/
Abstract

Dislocation of a fractured hypodermic needle is a complication requiring immediate and adequate emergency treatment. In this case report, 3D navigation is evaluated for its use to recover a quickly moving fractured needle. The needle was recovered safely, but it could be demonstrated that navigational planning has to be conducted right before surgery and other navigational tools, such as ultrasound, should be considered as well. Furthermore, an approach is suggested for treatment during pandemic crises such as COVID-19.

摘要

皮下注射针头骨折脱位是一种需要立即进行充分急救治疗的并发症。在本病例报告中,对三维导航用于找回快速移动的骨折针头的情况进行了评估。针头被安全找回,但可以证明,导航规划必须在手术前立即进行,并且还应考虑使用其他导航工具,如超声。此外,还提出了一种在COVID-19等大流行危机期间的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b58f/7816756/b42978393ac9/CRID2021-8820381.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b58f/7816756/590a55580707/CRID2021-8820381.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b58f/7816756/a3e555a32781/CRID2021-8820381.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b58f/7816756/cf29a1306bdf/CRID2021-8820381.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b58f/7816756/b42978393ac9/CRID2021-8820381.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b58f/7816756/590a55580707/CRID2021-8820381.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b58f/7816756/a3e555a32781/CRID2021-8820381.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b58f/7816756/cf29a1306bdf/CRID2021-8820381.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b58f/7816756/b42978393ac9/CRID2021-8820381.004.jpg

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本文引用的文献

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Impact of COVID-19 on maxillofacial surgery practice: a worldwide survey.《COVID-19 对颌面外科手术实践的影响:一项全球调查》。
Int J Oral Maxillofac Surg. 2020 Jun;49(6):827-835. doi: 10.1016/j.ijom.2020.04.015. Epub 2020 May 3.
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Approaches to the management of patients in oral and maxillofacial surgery during COVID-19 pandemic.COVID-19 大流行期间口腔颌面外科患者的处理方法。
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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.
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A novel case of a broken dental anesthetic needle transecting the right internal carotid artery.一例新型牙科麻醉针断裂并横断右颈内动脉的病例。
J Am Dent Assoc. 2016 Sep;147(9):739-42. doi: 10.1016/j.adaj.2016.03.014. Epub 2016 Apr 15.
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Case report: management of broken dental needles in practice.病例报告:牙科断针在实际中的处理
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Needle in the external auditory canal: an unusual complication of inferior alveolar nerve block.外耳道内的针头:下牙槽神经阻滞的一种罕见并发症。
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Needle breakage during local anesthesia in the oral cavity--a retrospective of the last 50 years with guidelines for treatment and prevention.口腔局部麻醉时针折断——回顾过去 50 年并提供治疗和预防指南。
Clin Oral Investig. 2011 Feb;15(1):3-8. doi: 10.1007/s00784-010-0442-6. Epub 2010 Jul 13.
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Broken local anesthetic needles: a case series of 16 patients, with recommendations.断针的局部麻醉:16 例患者的病例系列,附建议。
J Am Dent Assoc. 2009 Dec;140(12):1517-22. doi: 10.14219/jada.archive.2009.0103.
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Integration of intraoperative 3D-ultrasound in a commercial navigation system.术中三维超声在商用导航系统中的集成。
Zentralbl Neurochir. 2006 Nov;67(4):197-203. doi: 10.1055/s-2006-942186. Epub 2006 Nov 14.
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