Fluoroscopy for intraoral removal of fractured needle

Detalhes bibliográficos
Autor(a) principal: Pierri, Ricardo Augusto Gonçalves
Data de Publicação: 2022
Outros Autores: Sigua-Rodriguez, Eder Alberto, Camarini, Camila, Camarini, Edevaldo Tadeu
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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spelling 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
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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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