Removal of a suture needle: a case report
선수윤, 이백수, 최병준, 오주영, 이정우, 정준호, 황보연, 김민아, 권용대,
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선수윤 ( Seon Su-Yun ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
이백수 ( Lee Baek-Soo ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
최병준 ( Choi Byung-Joon ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
오주영 ( Ohe Joo-Young ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
이정우 ( Lee Jung-Woo ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
정준호 ( Jung Jun-Ho ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
황보연 ( Hwang Bo-Yeon ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
김민아 ( Kim Min-Ah ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
권용대 ( Kwon Yong-Dae ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
Abstract
Background: Foreign bodies may be embedded or left behind in the oral cavity during oral surgical procedure. The loss of instruments such as impression material, surgical gauze, and broken injection needles are commonly reported in the dental field. These complications are generally symptomatic and show signs of inflammation, pain, and purulent discharge. Accidental breakage of suture needles is a rare but potentially dangerous event.
Case presentation: In this report, we present one case of lost suture needle during the procedure of flap operation at local dental clinic and its successful removal under local/general anesthesia administration via CBCT with a help of two reference needles to localize the 6-0 nylon needle and consulting with the clinician.
Conclusion: CT scanning taken while mouth-closing may not be accurate with regard to real location measurement performed while mouth-opening. If so, other up-to-date radiographic devices and methods to retrieve a needle are recommended.
키워드
Needle fracture; Suture needle; Iatrogenic foreign body; Foreign body removal; Oral cavity
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