title: Transcervical migration of a broken dental needle: a case report and literature review.
abstract: Although needle breakage is a rare event in dentistry, the occurrence can cause significant distress to the patient and the clinician. Taking appropriate measures to prevent this mishap is best. However, when this event occurs, appropriate planning and retrieval of the needle can lessen the detrimental effects. In this report, we document the migration and retrieval of a broken dental needle that traveled from the medial ramus of the mandible to the posterior cervical space. This report emphasizes the importance of proper local anesthesia techniques, as well as preventive measures, localization methods, and the principles of surgical approaches for the removal of broken needles.
authors.affiliation: Doctor of Oral and Maxillofacial Surgery, Akdeniz University, Faculty of Dentistry, Antalya, Turkey; Research Fellow, Department of Oral and Maxillofacial Surgery, Case Western Reserve University School of Dental Medicine, Cleveland, OH, USA.
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Altay
authors.affiliation: Former Intern, Department of Oral and Maxillofacial Surgery, Case Western Reserve University School of Dental Medicine; Resident, Department of Oral and Maxillofacial Surgery, University of Minnesota School of Dentistry, Minneapolis, MN, USA.
authors.forename: Diana
authors.initials: D
authors.lastname: Jee-Hyun Lyu
authors.affiliation: Former Resident, Department of Oral and Maxillofacial Surgery, Case Western Reserve University School of Dental Medicine; Private practice, Albuquerque, NM, USA.
authors.forename: David
authors.initials: D
authors.lastname: Collette
authors.affiliation: Associate Professor, Chair, and Division Chief, Department of Oral and Maxillofacial Surgery, Case Western Reserve University School of Dental Medicine and University Hospitals/Case Medical Center, Cleveland, OH, USA. Electronic address: dale.baur@case.edu.
authors.forename: Dale A
authors.initials: DA
authors.lastname: Baur
authors.affiliation: Associate Professor and Residency Program Director, Department of Oral and Maxillofacial Surgery, Case Western Reserve University School of Dental Medicine and University Hospitals/Case Medical Center, Cleveland, OH, USA.
authors.forename: Faisal A
authors.initials: FA
authors.lastname: Quereshy
authors.affiliation: Associate Dean of Clinical Operations, Case Western Reserve University School of Dental Medicine, Cleveland, OH, USA.
authors.forename: Sorin T
authors.initials: ST
authors.lastname: Teich
authors.affiliation: Research Assistant, Department of Oral and Maxillofacial Surgery, Case Western Reserve University School of Dental Medicine, Cleveland, OH, USA.
authors.forename: Ariadne E
authors.initials: AE
authors.lastname: Gonzalez
mesh_terms: D000328:Adult; D004868:Equipment Failure; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008334:Mandible / Q000000981:diagnostic imaging / Q000601:surgery*; D009333:Neck / Q000000981:diagnostic imaging / Q000601:surgery*; D009339:Needles / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed