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Accidentel fraktur af en injektionskanyle ved mandibularanalgesi
Engelsk titel: Fracture of an injection needle during administration of mandibular nerve block Läs online Författare: Thesbjerg, Kristian ; Dalsgaard Jensen, Janek ; Jensen, Thomas Språk: Dan Antal referenser: 14 Dokumenttyp: Fallbeskrivning UI-nummer: 15093417

Tidskrift

Tandlaegebladet 2015;119(7)534-7 ISSN 0039-9353 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Background - Accidental fracture of instruments, injection needles and suture needles is an adverse event that is extremely rare in dental practice. The development of disposable needles and improved metal alloys has significantly reduced the risk of these injurie. Case study - A 54-year-old women was referred from her private dentist to the Department of Oral and Maxillofacial Surgery, Aalborg University Hospital for removal of a fractured injection needle which occurred during administration of inferior alveolar nerve block. Cone Beam CT scanning identified that the needle was located medial and cranial to the mandibular foramen. The needle was removed through a transoral approach under general anaesthesia. The postoperative follow-up was uneventful. Conclusion - Fracture of injection needles is a very rare complication. The fractured needle was removed under general anaesthesia. Follow-up after three weeks was normal without any permanent injuries.