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KMID : 0980320220220040315
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Journal of Dental Anesthesia and Pain Medicine
2022 Volume.22 No. 4 p.315 ~ p.321
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Fractured needle as an unusual complication of the lingual nerve block: a case report
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Erdil Aras
Demirsoy Mustafa Sami
Colak Sefa
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Abstract
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Although rare, hypodermic needle fractures can occur in the maxillofacial region. In cases of fracture, urgent intervention is required to prevent further complications. We present the case of a 37-year-old female patient with a fractured needle in the left sublingual fossa during a lingual nerve block 6 months before referral. The fragment of a 30-gauge needle was located using cone-beam computed tomography and retrieved under local anesthesia with blunt dissection. The patient recovered uneventfully, except for predictable postoperative inflammatory complications, which resolved within 2 weeks. Precautions should be implemented to prevent needle fractures, which are usually preventable. However, if the retrieval is unsuccessful, the patient should be referred to a well-equipped surgical unit without delay.
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KEYWORD
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Complications, Dental Anesthesia, Foreign Body Removal, Local Anesthesia, Needle Fracture
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