Accidental Insertion of a Broken Needle into the Pterygoid Mandibular Space during Inferior Alveolar Nerve Block: A Case Report
The incidence of needle breakage is estimated to be 0.000007%, and most needle breaks occur during inferior alveolar nerve block (IANB) administration and are localized to the pterygomandibular space. Although immediate surgical intervention is recommended for the removal of the fracture needles, in...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2022/9626612 |
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| author | Kazuhiro Terada Kenji Yamagata Fumihiko Uchida Satoshi Fukuzawa Naomi Ishibashi-Kanno Hiroki Bukawa |
| author_facet | Kazuhiro Terada Kenji Yamagata Fumihiko Uchida Satoshi Fukuzawa Naomi Ishibashi-Kanno Hiroki Bukawa |
| author_sort | Kazuhiro Terada |
| collection | DOAJ |
| description | The incidence of needle breakage is estimated to be 0.000007%, and most needle breaks occur during inferior alveolar nerve block (IANB) administration and are localized to the pterygomandibular space. Although immediate surgical intervention is recommended for the removal of the fracture needles, intraoperative localization of a broken injection needle fragment can be challenging. Here, we present the case of a 36-year-old woman who underwent dental extraction of the left lower wisdom tooth under local anesthesia at a private office. At that time, a disposable 33G needle was broken and accidentally inserted into the pterygomandibular space during IANB. A broken injection needle was presented at the base of the left coronoid process of the mandible on computed tomography (CT). We successfully removed the broken injection needle using fluoroscopy and assisted endoscopy under general anesthesia. |
| format | Article |
| id | doaj-art-4d6c0ea17429407b93d6f7d0af736bf5 |
| institution | Kabale University |
| issn | 2090-6455 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-4d6c0ea17429407b93d6f7d0af736bf52025-02-03T01:30:02ZengWileyCase Reports in Dentistry2090-64552022-01-01202210.1155/2022/9626612Accidental Insertion of a Broken Needle into the Pterygoid Mandibular Space during Inferior Alveolar Nerve Block: A Case ReportKazuhiro Terada0Kenji Yamagata1Fumihiko Uchida2Satoshi Fukuzawa3Naomi Ishibashi-Kanno4Hiroki Bukawa5Department of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryThe incidence of needle breakage is estimated to be 0.000007%, and most needle breaks occur during inferior alveolar nerve block (IANB) administration and are localized to the pterygomandibular space. Although immediate surgical intervention is recommended for the removal of the fracture needles, intraoperative localization of a broken injection needle fragment can be challenging. Here, we present the case of a 36-year-old woman who underwent dental extraction of the left lower wisdom tooth under local anesthesia at a private office. At that time, a disposable 33G needle was broken and accidentally inserted into the pterygomandibular space during IANB. A broken injection needle was presented at the base of the left coronoid process of the mandible on computed tomography (CT). We successfully removed the broken injection needle using fluoroscopy and assisted endoscopy under general anesthesia.http://dx.doi.org/10.1155/2022/9626612 |
| spellingShingle | Kazuhiro Terada Kenji Yamagata Fumihiko Uchida Satoshi Fukuzawa Naomi Ishibashi-Kanno Hiroki Bukawa Accidental Insertion of a Broken Needle into the Pterygoid Mandibular Space during Inferior Alveolar Nerve Block: A Case Report Case Reports in Dentistry |
| title | Accidental Insertion of a Broken Needle into the Pterygoid Mandibular Space during Inferior Alveolar Nerve Block: A Case Report |
| title_full | Accidental Insertion of a Broken Needle into the Pterygoid Mandibular Space during Inferior Alveolar Nerve Block: A Case Report |
| title_fullStr | Accidental Insertion of a Broken Needle into the Pterygoid Mandibular Space during Inferior Alveolar Nerve Block: A Case Report |
| title_full_unstemmed | Accidental Insertion of a Broken Needle into the Pterygoid Mandibular Space during Inferior Alveolar Nerve Block: A Case Report |
| title_short | Accidental Insertion of a Broken Needle into the Pterygoid Mandibular Space during Inferior Alveolar Nerve Block: A Case Report |
| title_sort | accidental insertion of a broken needle into the pterygoid mandibular space during inferior alveolar nerve block a case report |
| url | http://dx.doi.org/10.1155/2022/9626612 |
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