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Year 2017, Volume: 3 Issue: 1, 27 - 33, 01.04.2017

Abstract

İğne kırılması dental anestezi sırasında nadir görülen bir komplikasyondur. Daha çok Nervus alveolaris inferior blokajı sırasında oluşur, ancak maksiller enjeksiyonlar sırasında görülen az sayıda olgu bildirimleri de mevcuttur. İğne kırılması önlenebilir pek çok farklı nedenlerle oluşabilir. İleri radyolojik teknikler kırılan iğne parçasının yerinin kesin olarak belirlenmesinde faydalıdır. Kırılan parçanın yumuşak dokular içinde hareket etmesi nedeniyle cerrahi olarak çıkartılması önerilmektedir. Bu olguda maksiller dental anestezi sırasında kırılan iğne parçasının radyografik özellikleri ve cerrahi olarak çıkartılması sunulmuştur. Bunun yanı sıra, dental anestezi sırasında iğne kırılmasına yönelik literatür derlemesi amaçlanmaktadır

References

  • [1] Altay MA, Jee-Hyun Lyu D, Collette D, Baur DA, Quereshy FA, Teich ST, Gonzalez AE. Transcervical migration of a broken dental needle: a case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118(6):e161-5.
  • [2] Augello M, von Jackowski J, Grätz KW, Jacobsen C. Needle breakage during local anesthesia in the oral cavity--a retrospective of the last 50 years with guidelines for treatment and prevention. Clin Oral Investig 2011;15(1):3-8.
  • [3] Stein KM. Use of Intraoperative Navigation for Minimally Invasive Retrieval of a Broken Dental Needle. J Oral Maxillofac Surg 2015;73(10):1911-6.
  • [4] Marks RB, Carlton DM, McDonald S. Management of a broken needle in the pterygomandibular space: report of case. J Am Dent Assoc 1984;109(2):263-4.
  • [5] Bhatia S, Bounds G. A broken needle in the pterygomandibular space: report of a case and review of the literature. Dent Update 1998;25(1):35-7.
  • [6] Kronman JH, el-Bermani AW, Wongwatana S, Kumar A. Preferred needle lengths for inferior alveolar anesthesia. Gen Dent 1994;42(1):74-6
  • [7] Bailey E, Rao J, Saksena A. Case Report: Fractured Needle in the Pterygomandibular Space Following Administration of an Inferior Dental Nerve Block. Dent Update 2015;42(3):270-2.
  • [8] Malamed SF. Handbook of Local Anaesthesia 6th ed. St. Louis, MO. Mosby: 2012.
  • [9] Zeltser R, Cohen C, Casap N. The implications of a broken needle in the pterygomandibular space: clinical guidelines for prevention and retrieval. Pediatr Dent 2002;24(2):153-6.
  • [10] Malamed SF, Reed K, Poorsattar S. Needle breakage: incidence and prevention. Dent Clin North Am 2010;54(4):745-56
  • [11] Catelani C1, Valente A, Rossi A, Bertolai R. Broken anesthetic needle in the pterygomandibular space. Four case reports. Minerva Stomatol 2013;62(11-12):455-63.
  • [12] Baart JA, van Amerongen WE, de Jong KJ, Allard RH. [Needle breakage during mandibular block anaesthesia: prevention and retrieval]. Ned Tijdschr Tandheelkd. 2006;113(12):520-3.
  • [13] Siessegger M, Mischkowski RA, Schneider BT, Krug B, Klesper B, Zöller JE. Image guided surgical navigation for removal of foreign bodies in the head and neck. J Craniomaxillofac Surg 2001;29(6):321-5.
  • [14] Brucoli M, Deandreis M, Arcuri F, Benech A. Management of a needle breakage during third molar extraction with C-ARM digital fluoroscope. J Craniofac Surg. 201;23(5):1583-4.
  • [15] Bacci C, Mariuzzi ML, Ghirotto C, Fusetti S. Local anesthesia needle breakage in a 5-year-old child during inferior alveolar nerve block with the Vazirani-Akinosi technique. Minerva Stomatol. 2012;61(7-8):337-40.
  • [16] Gerbino G1, Zavattero E, Berrone M, Berrone S. Management of needle breakage using intraoperative navigation following inferior alveolar nerve block. J Oral Maxillofac Surg. 2013;71(11):1819-24.
  • [17] Hoffmann J, Troitzsch D, Westendorff C, et al: Temporary intermaxillary fixation using individualized acrylic splints permits imagedata-based surgery of the lower jaw and oropharynx. Laryngoscope 114:1506, 2004
  • [18] Gonul E, Akboru M, Timurkaynak E: Orbital foreign bodies after penetrating gunshot wounds: Retrospective analysis of 22 cases and clinical review. Minim Invasive Neurosurg 42:207, 1999
  • [19] Enislidis G, Wagner A, Ploder O, et al: Computed intraoperative navigation guidance: A preliminary report on new technique. Br J Oral Maxillofac Surg 35:271, 1997
  • [20] Rifkind JB. Management of a broken needle in the pterygomandibular space following a Vazirani-Akinosi block: case report. J Can Dent Assoc. 2011;77:64.
  • [21] Moore UJ, Fanibunda K, Gross MJ. The use of a metal detector for localisation of a metallic foreign body in the floor of the mouth. Br J Oral Maxillofac Surg 1993;31(3):191-2.
  • [22] Johansson B, Krekmanov L. Fragment of broken instrument removed from field of operation by an electromagnet. Br J Oral Maxillofac Surg 1987;25(3):265-6.
  • [23] Chittenden HB, Chandra A, Sandy CJ. Use of an electromagnet to retrieve a broken fascia needle during frontalis sling surgery. Ophthal Plast Reconstr Surg 2005;21(6):469-70.
  • [24] Bump RL, Roche WC. A broken needle in the pterygomandibular space. Report of a case. Oral Surg Oral Med Oral Pathol 1973;36(5):750-2.
  • [25] Bedrock RD, Skigen A, Dolwick MF. Retrieval of a broken needle in the pterygomandibular space. J Am Dent Assoc 1999;130(5):685-7.
  • [26] Ho KH. A simple technique for localizing a broken dental needle in the pterygomandibular region. Aust Dent J 1988;33(4):308-9.
  • [27] Crouse VL. Migration of a broken anesthetic needle: report of a case. S C Dent J 1970;28(9):16-9.
  • [28] Amies A.B. Broken needles Aust J Dent 1951;55403–406.
  • [29] Fraser-Moodie W. Location and localisation of metal in the tissues Br J Oral Surg 1966; 499–105
  • [30] Thompson M, Wright S, Cheng LH, Starr D. Locating broken dental needles. Int J Oral Maxillofac Surg 2003;32(6):642-4.
  • [31] Ethunandan M, Tran AL, Anand R, Bowden J, Seal MT, Brennan PA. Needle breakage following inferior alveolar nerve block: implications and management. Br Dent J 2007 14;202(7):395-7.
  • [32] Nezafati S, Shahi S Removal of broken dental needle using mobile digital C-arm. J Oral Sci 2008;50(3):351-3.
  • [33] Faura-Solé M, Sánchez-Garcés MA, Berini-Aytes L, Gay-Escoda C. Broken anesthetic injection needles: report of 5 cases. Quintessence Int 1999l;30(7):461-5.
  • [34] Kronman JH, el-Bermani AW, Wongwatana S, Kumar A. Preferred needle lengths for inferior alveolar anesthesia. Gen Dent 1994;42(1):74-6.
  • [35] Philbert R, Hamilton B, Zola M. Management of needle breakage using intraoperative navigation following inferior nerve block. J Oral Maxillofac Surg 2014;72(4):653.
  • [36] Brownbill JW, Walker PO, Bourcy BD, Keenan KM. Comparison of inferior dental nerve block injections in child patients using 30-gauge and 25-gauge short needles. Anesth Prog 1987;34(6):215-9.

NEEDLE BREAKAGE DURING DENTAL ANESTHESIA IN THE MAXILLA: REPORT OF A CASE AND LITERATURE REVIEW

Year 2017, Volume: 3 Issue: 1, 27 - 33, 01.04.2017

Abstract

Needle breakage is an uncommon complication during dental anesthesia. It generally occurs in inferior alveolar nerve block; however rare cases during maxillary injections have also been reported. There are different causative factors for needle breakage most of which can be preventable. Advanced radiological techniques are helpful to detect the exact localization of the broken fragment. Surgical removal of the needle is recommended since the broken piece may move deeper through the tissues. Here we report a case of a broken needle during maxillary dental anesthesia as well as radiological features and surgical treatment. Furthermore, we aimed to review the current literature regarding needle breakage during dental anesthesia

References

  • [1] Altay MA, Jee-Hyun Lyu D, Collette D, Baur DA, Quereshy FA, Teich ST, Gonzalez AE. Transcervical migration of a broken dental needle: a case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118(6):e161-5.
  • [2] Augello M, von Jackowski J, Grätz KW, Jacobsen C. Needle breakage during local anesthesia in the oral cavity--a retrospective of the last 50 years with guidelines for treatment and prevention. Clin Oral Investig 2011;15(1):3-8.
  • [3] Stein KM. Use of Intraoperative Navigation for Minimally Invasive Retrieval of a Broken Dental Needle. J Oral Maxillofac Surg 2015;73(10):1911-6.
  • [4] Marks RB, Carlton DM, McDonald S. Management of a broken needle in the pterygomandibular space: report of case. J Am Dent Assoc 1984;109(2):263-4.
  • [5] Bhatia S, Bounds G. A broken needle in the pterygomandibular space: report of a case and review of the literature. Dent Update 1998;25(1):35-7.
  • [6] Kronman JH, el-Bermani AW, Wongwatana S, Kumar A. Preferred needle lengths for inferior alveolar anesthesia. Gen Dent 1994;42(1):74-6
  • [7] Bailey E, Rao J, Saksena A. Case Report: Fractured Needle in the Pterygomandibular Space Following Administration of an Inferior Dental Nerve Block. Dent Update 2015;42(3):270-2.
  • [8] Malamed SF. Handbook of Local Anaesthesia 6th ed. St. Louis, MO. Mosby: 2012.
  • [9] Zeltser R, Cohen C, Casap N. The implications of a broken needle in the pterygomandibular space: clinical guidelines for prevention and retrieval. Pediatr Dent 2002;24(2):153-6.
  • [10] Malamed SF, Reed K, Poorsattar S. Needle breakage: incidence and prevention. Dent Clin North Am 2010;54(4):745-56
  • [11] Catelani C1, Valente A, Rossi A, Bertolai R. Broken anesthetic needle in the pterygomandibular space. Four case reports. Minerva Stomatol 2013;62(11-12):455-63.
  • [12] Baart JA, van Amerongen WE, de Jong KJ, Allard RH. [Needle breakage during mandibular block anaesthesia: prevention and retrieval]. Ned Tijdschr Tandheelkd. 2006;113(12):520-3.
  • [13] Siessegger M, Mischkowski RA, Schneider BT, Krug B, Klesper B, Zöller JE. Image guided surgical navigation for removal of foreign bodies in the head and neck. J Craniomaxillofac Surg 2001;29(6):321-5.
  • [14] Brucoli M, Deandreis M, Arcuri F, Benech A. Management of a needle breakage during third molar extraction with C-ARM digital fluoroscope. J Craniofac Surg. 201;23(5):1583-4.
  • [15] Bacci C, Mariuzzi ML, Ghirotto C, Fusetti S. Local anesthesia needle breakage in a 5-year-old child during inferior alveolar nerve block with the Vazirani-Akinosi technique. Minerva Stomatol. 2012;61(7-8):337-40.
  • [16] Gerbino G1, Zavattero E, Berrone M, Berrone S. Management of needle breakage using intraoperative navigation following inferior alveolar nerve block. J Oral Maxillofac Surg. 2013;71(11):1819-24.
  • [17] Hoffmann J, Troitzsch D, Westendorff C, et al: Temporary intermaxillary fixation using individualized acrylic splints permits imagedata-based surgery of the lower jaw and oropharynx. Laryngoscope 114:1506, 2004
  • [18] Gonul E, Akboru M, Timurkaynak E: Orbital foreign bodies after penetrating gunshot wounds: Retrospective analysis of 22 cases and clinical review. Minim Invasive Neurosurg 42:207, 1999
  • [19] Enislidis G, Wagner A, Ploder O, et al: Computed intraoperative navigation guidance: A preliminary report on new technique. Br J Oral Maxillofac Surg 35:271, 1997
  • [20] Rifkind JB. Management of a broken needle in the pterygomandibular space following a Vazirani-Akinosi block: case report. J Can Dent Assoc. 2011;77:64.
  • [21] Moore UJ, Fanibunda K, Gross MJ. The use of a metal detector for localisation of a metallic foreign body in the floor of the mouth. Br J Oral Maxillofac Surg 1993;31(3):191-2.
  • [22] Johansson B, Krekmanov L. Fragment of broken instrument removed from field of operation by an electromagnet. Br J Oral Maxillofac Surg 1987;25(3):265-6.
  • [23] Chittenden HB, Chandra A, Sandy CJ. Use of an electromagnet to retrieve a broken fascia needle during frontalis sling surgery. Ophthal Plast Reconstr Surg 2005;21(6):469-70.
  • [24] Bump RL, Roche WC. A broken needle in the pterygomandibular space. Report of a case. Oral Surg Oral Med Oral Pathol 1973;36(5):750-2.
  • [25] Bedrock RD, Skigen A, Dolwick MF. Retrieval of a broken needle in the pterygomandibular space. J Am Dent Assoc 1999;130(5):685-7.
  • [26] Ho KH. A simple technique for localizing a broken dental needle in the pterygomandibular region. Aust Dent J 1988;33(4):308-9.
  • [27] Crouse VL. Migration of a broken anesthetic needle: report of a case. S C Dent J 1970;28(9):16-9.
  • [28] Amies A.B. Broken needles Aust J Dent 1951;55403–406.
  • [29] Fraser-Moodie W. Location and localisation of metal in the tissues Br J Oral Surg 1966; 499–105
  • [30] Thompson M, Wright S, Cheng LH, Starr D. Locating broken dental needles. Int J Oral Maxillofac Surg 2003;32(6):642-4.
  • [31] Ethunandan M, Tran AL, Anand R, Bowden J, Seal MT, Brennan PA. Needle breakage following inferior alveolar nerve block: implications and management. Br Dent J 2007 14;202(7):395-7.
  • [32] Nezafati S, Shahi S Removal of broken dental needle using mobile digital C-arm. J Oral Sci 2008;50(3):351-3.
  • [33] Faura-Solé M, Sánchez-Garcés MA, Berini-Aytes L, Gay-Escoda C. Broken anesthetic injection needles: report of 5 cases. Quintessence Int 1999l;30(7):461-5.
  • [34] Kronman JH, el-Bermani AW, Wongwatana S, Kumar A. Preferred needle lengths for inferior alveolar anesthesia. Gen Dent 1994;42(1):74-6.
  • [35] Philbert R, Hamilton B, Zola M. Management of needle breakage using intraoperative navigation following inferior nerve block. J Oral Maxillofac Surg 2014;72(4):653.
  • [36] Brownbill JW, Walker PO, Bourcy BD, Keenan KM. Comparison of inferior dental nerve block injections in child patients using 30-gauge and 25-gauge short needles. Anesth Prog 1987;34(6):215-9.
There are 36 citations in total.

Details

Other ID JA63GS63ZJ
Journal Section Case Report
Authors

Gökhan Gürler This is me

Çağrı Delilbaşı This is me

İpek Kaçar This is me

Publication Date April 1, 2017
Submission Date April 1, 2017
Published in Issue Year 2017 Volume: 3 Issue: 1

Cite

Vancouver Gürler G, Delilbaşı Ç, Kaçar İ. NEEDLE BREAKAGE DURING DENTAL ANESTHESIA IN THE MAXILLA: REPORT OF A CASE AND LITERATURE REVIEW. Aydin Dental Journal. 2017;3(1):27-33.

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