Fluoroscopy for intraoral removal of fractured needle
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista Uningá (Online) |
Texto Completo: | https://revista.uninga.br/uninga/article/view/eUJ4242 |
Resumo: | There are few reports in the literature concerning needle fractures during the local administration of anesthetic solution in dental procedures. However, the risk still exists. The patient’s unexpected movement during anesthesia, bending the needle prior to its use in the tissue, incorrectly performed anesthetic technique, uncooperative patient, small needle diameter or size may be considered substantial risks of fracture. At the moment the needle fracture occurs in the tissues it can move to the patient’s vital regions, and it is of utmost importance to remove it. If it is not possible to remove the needle immediately, an oral surgeon should be contacted to remove it under general anesthesia at the hospital. This paper aims to report a case of needle fracture in third molar exodontia during lower alveolar, lingual and buccal right nerve block, referred to the oral and maxillofacial surgery and traumatology department of the State University of Maringá. After clinical examination and tomography assessment, the patient underwent a surgical procedure to remove the needle in the operating room under general anesthesia and aid of trans-operative fluoroscopy. Therefore, we conclude that fluoroscopy is an extremely important resource in cases such as this one, since it allows a guided procedure, reducing the surgical trauma of an exploratory surgery. |
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Fluoroscopy for intraoral removal of fractured needleFluoroscopia para remoção de agulha fraturada por via intraoralAcidentesanestesia localfluoroscopiaAccidentslocal anesthesiafluoroscopyThere are few reports in the literature concerning needle fractures during the local administration of anesthetic solution in dental procedures. However, the risk still exists. The patient’s unexpected movement during anesthesia, bending the needle prior to its use in the tissue, incorrectly performed anesthetic technique, uncooperative patient, small needle diameter or size may be considered substantial risks of fracture. At the moment the needle fracture occurs in the tissues it can move to the patient’s vital regions, and it is of utmost importance to remove it. If it is not possible to remove the needle immediately, an oral surgeon should be contacted to remove it under general anesthesia at the hospital. This paper aims to report a case of needle fracture in third molar exodontia during lower alveolar, lingual and buccal right nerve block, referred to the oral and maxillofacial surgery and traumatology department of the State University of Maringá. After clinical examination and tomography assessment, the patient underwent a surgical procedure to remove the needle in the operating room under general anesthesia and aid of trans-operative fluoroscopy. Therefore, we conclude that fluoroscopy is an extremely important resource in cases such as this one, since it allows a guided procedure, reducing the surgical trauma of an exploratory surgery.Há poucos relatos na literatura de fraturas de agulha durante a administração da solução anestésica local em procedimentos odontológicos. Porém o risco ainda existe. O movimento inesperado do paciente durante a anestesia, curvar a agulha antes de utilizá-la no tecido, técnica anestésica realizada incorretamente, paciente não cooperativo, diâmetro ou tamanho pequeno da agulha podem ser considerados riscos consideráveis para a fratura. No momento em que ocorre a fratura da agulha nos tecidos, a mesma pode se deslocar para regiões vitais do paciente, sendo de total importância removê-la. Se não for possível sua remoção imediata, deve-se procurar um especialista cirurgião bucomaxilofacial para removê-la sob anestesia geral no centro cirúrgico. O presente trabalho tem como objetivo relatar um caso de fratura de agulha na exodontia de terceiro molar durante o bloqueio do nervo alveolar inferior, lingual e bucal direito, encaminhado ao serviço de cirurgia e traumatologia bucomaxilofacial da Universidade Estadual de Maringá. Após exame clínico e tomográfico, a paciente foi submetida a um procedimento cirúrgico para a remoção da mesma em centro cirúrgico sob anestesia geral e com auxílio da fluoroscopia transoperatória. Desta maneira, concluímos que a fluoroscopia é um recurso extremamente importante em casos como este, já que possibilita um procedimento guiado, diminuindo o trauma cirúrgico de uma cirurgia exploratória.Editora Uningá2022-08-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionTextoinfo:eu-repo/semantics/otherapplication/pdfapplication/pdfhttps://revista.uninga.br/uninga/article/view/eUJ424210.46311/2318-0579.59.eUJ4242Revista Uningá; Vol. 59 (2022); eUJ4242Revista Uningá; v. 59 (2022); eUJ42422318-057910.46311/ru.v59ireponame:Revista Uningá (Online)instname:Centro Universitário Uningáinstacron:UNINGAporenghttps://revista.uninga.br/uninga/article/view/eUJ4242/2509https://revista.uninga.br/uninga/article/view/eUJ4242/251010.46311/ru.v59i.4242.g250910.46311/ru.v59i.4242.g2510Copyright (c) 2022 Revista Uningáhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPierri, Ricardo Augusto GonçalvesSigua-Rodriguez, Eder Alberto Camarini, CamilaCamarini, Edevaldo Tadeu2023-10-17T14:45:06Zoai:ojs.revista.uninga.br:article/4242Revistahttps://revista.uninga.br/uninga/indexPUBhttps://revista.uninga.br/uninga/oairevistauninga@uninga.edu.br2318-05792318-0579opendoar:2023-10-17T14:45:06Revista Uningá (Online) - Centro Universitário Uningáfalse |
dc.title.none.fl_str_mv |
Fluoroscopy for intraoral removal of fractured needle Fluoroscopia para remoção de agulha fraturada por via intraoral |
title |
Fluoroscopy for intraoral removal of fractured needle |
spellingShingle |
Fluoroscopy for intraoral removal of fractured needle Pierri, Ricardo Augusto Gonçalves Acidentes anestesia local fluoroscopia Accidents local anesthesia fluoroscopy |
title_short |
Fluoroscopy for intraoral removal of fractured needle |
title_full |
Fluoroscopy for intraoral removal of fractured needle |
title_fullStr |
Fluoroscopy for intraoral removal of fractured needle |
title_full_unstemmed |
Fluoroscopy for intraoral removal of fractured needle |
title_sort |
Fluoroscopy for intraoral removal of fractured needle |
author |
Pierri, Ricardo Augusto Gonçalves |
author_facet |
Pierri, Ricardo Augusto Gonçalves Sigua-Rodriguez, Eder Alberto Camarini, Camila Camarini, Edevaldo Tadeu |
author_role |
author |
author2 |
Sigua-Rodriguez, Eder Alberto Camarini, Camila Camarini, Edevaldo Tadeu |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Pierri, Ricardo Augusto Gonçalves Sigua-Rodriguez, Eder Alberto Camarini, Camila Camarini, Edevaldo Tadeu |
dc.subject.por.fl_str_mv |
Acidentes anestesia local fluoroscopia Accidents local anesthesia fluoroscopy |
topic |
Acidentes anestesia local fluoroscopia Accidents local anesthesia fluoroscopy |
description |
There are few reports in the literature concerning needle fractures during the local administration of anesthetic solution in dental procedures. However, the risk still exists. The patient’s unexpected movement during anesthesia, bending the needle prior to its use in the tissue, incorrectly performed anesthetic technique, uncooperative patient, small needle diameter or size may be considered substantial risks of fracture. At the moment the needle fracture occurs in the tissues it can move to the patient’s vital regions, and it is of utmost importance to remove it. If it is not possible to remove the needle immediately, an oral surgeon should be contacted to remove it under general anesthesia at the hospital. This paper aims to report a case of needle fracture in third molar exodontia during lower alveolar, lingual and buccal right nerve block, referred to the oral and maxillofacial surgery and traumatology department of the State University of Maringá. After clinical examination and tomography assessment, the patient underwent a surgical procedure to remove the needle in the operating room under general anesthesia and aid of trans-operative fluoroscopy. Therefore, we conclude that fluoroscopy is an extremely important resource in cases such as this one, since it allows a guided procedure, reducing the surgical trauma of an exploratory surgery. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Texto info:eu-repo/semantics/other |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.uninga.br/uninga/article/view/eUJ4242 10.46311/2318-0579.59.eUJ4242 |
url |
https://revista.uninga.br/uninga/article/view/eUJ4242 |
identifier_str_mv |
10.46311/2318-0579.59.eUJ4242 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revista.uninga.br/uninga/article/view/eUJ4242/2509 https://revista.uninga.br/uninga/article/view/eUJ4242/2510 10.46311/ru.v59i.4242.g2509 10.46311/ru.v59i.4242.g2510 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Revista Uningá https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Revista Uningá https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora Uningá |
publisher.none.fl_str_mv |
Editora Uningá |
dc.source.none.fl_str_mv |
Revista Uningá; Vol. 59 (2022); eUJ4242 Revista Uningá; v. 59 (2022); eUJ4242 2318-0579 10.46311/ru.v59i reponame:Revista Uningá (Online) instname:Centro Universitário Uningá instacron:UNINGA |
instname_str |
Centro Universitário Uningá |
instacron_str |
UNINGA |
institution |
UNINGA |
reponame_str |
Revista Uningá (Online) |
collection |
Revista Uningá (Online) |
repository.name.fl_str_mv |
Revista Uningá (Online) - Centro Universitário Uningá |
repository.mail.fl_str_mv |
revistauninga@uninga.edu.br |
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1797042158866268160 |