Seon Suyun, Lee Baek-Soo, Choi Byung-Joon, Ohe Joo-Young, Lee Jung-Woo, Jung Junho, Hwang Bo-Yeon, Kim Min-Ah, Kwon Yong-Dae
Department of Oral and Maxillofacial surgery, School of Dentistry, Kyung Hee University, 26, Kyungheedae-ro, Dongdaemun-gu, Seoul, 130-701, South Korea.
Maxillofac Plast Reconstr Surg. 2021 Jul 5;43(1):22. doi: 10.1186/s40902-021-00309-3.
Foreign bodies may be embedded or left behind in the oral cavity during oral surgical procedure. The loss of instruments such as impression material, surgical gauze, and broken injection needles are commonly reported in the dental field. These complications are generally symptomatic and show signs of inflammation, pain, and purulent discharge. Accidental breakage of suture needles is a rare but potentially dangerous event.
In this report, we present one case of lost suture needle during the procedure of flap operation at local dental clinic and its successful removal under local/general anesthesia administration via CBCT with a help of two reference needles to localize the 6-0 nylon needle and consulting with the clinician.
CT scanning taken while mouth-closing may not be accurate with regard to real location measurement performed while mouth-opening. If so, other up-to-date radiographic devices and methods to retrieve a needle are recommended.
在口腔外科手术过程中，异物可能会嵌入口腔或遗留在口腔内。在牙科领域，常报告有诸如印模材料、手术纱布和折断的注射针等器械丢失的情况。这些并发症通常有症状表现，呈现出炎症、疼痛和脓性分泌物等迹象。缝合针意外折断是一种罕见但潜在危险的事件。
在本报告中，我们呈现了一例在当地牙科诊所进行皮瓣手术过程中缝合针丢失的病例，以及在局部/全身麻醉下，借助CBCT并使用两根参考针定位6-0尼龙针，并与临床医生协商后成功取出缝合针的过程。
闭口时进行的CT扫描对于张口时进行的实际位置测量可能不准确。如果是这样，建议采用其他最新的影像学设备和取针方法。
