title: Local anesthesia needle breakage in a 5-year-old child during inferior alveolar nerve block with the Vazirani-Akinosi technique.
abstract: Breakage of a local anesthetic needle in dentistry is a rare but potentially serious event. Here we describe a case of breakage of a hypodermic needle during administration of local anesthesia with a Vazirani-Akinosi mandibular nerve block in a 5-year-old uncooperative patient under moderate sedation with midazolam. The needle was localized using a fluoroscopy device and then removed under general anaesthesia. The postoperative course was unremarkable, without any neurological or vascular deficits.
authors.affiliation: Unit of Oral Surgery, Department of Neurosciences, University of Padua, Padua, Italy. christian.bacci@unipd.it
authors.forename: C
authors.initials: C
authors.lastname: Bacci
authors.forename: M L
authors.initials: ML
authors.lastname: Mariuzzi
authors.forename: C
authors.initials: C
authors.lastname: Ghirotto
authors.forename: S
authors.initials: S
authors.lastname: Fusetti
mesh_terms: D000772:Anesthesia, Local / Q000295:instrumentation*; D002675:Child, Preschool; D004868:Equipment Failure; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D008297:Male; D008340:Mandibular Nerve; D009061:Mouth Mucosa / Q000293:injuries*; D009339:Needles; D009407:Nerve Block / Q000295:instrumentation* / Q000379:methods*