J Dent Anesth Pain Med.  2020 Apr;20(2):83-87. 10.17245/jdapm.2020.20.2.83.

Dental needle foreign body in the neck: a case report

• Mohammed H
• Shallik N
• Barsoum M
• Abdulla MA
• Dogan Z
• Ahmed HH
• Moustafa A

• KMID: 2500091
• DOI: http://doi.org/10.17245/jdapm.2020.20.2.83

Abstract

Foreign body (FB) ingestion is commonly seen in the ear nose and throat (ENT) field, with different presentations and sequelae. FBs can arrest in the upper aerodigestive tract or continue further down into either the airway tract to the bronchus or the digestive tract to the intestines. The pathway of an FB depends on the size and shape of the FB and how sharp its edges are. Since the 20th century, the use of disposable stainless-steel needles in the oral cavity has proven to be an effective and safe method for performing various intraoral procedures like dental infiltration or a root canal wash. Complications from their use are rare. Generally, dental needle breakages are caused by patients biting the needle, incorrect injection techniques, or inadequate preventative measures. The sudden movement of a patient during a procedure is one of the most common causes of breakage. Occasionally, needles are swallowed during dental procedures such as a root canal. Here, we report a case of a patient that swallowed a broken needle during a dental procedure. A few days later, the patient presented with neck pain, swelling, and a FB sensation. When the patient presented, she claimed that her symptoms had onset after consuming a meal containing duck meat. Initially, the patient was diagnosed as having ingested a duck bone. However, intraoperatively, the FB was discovered to be an injection needle that had migrated from the throat to the neck.

Keyword

Duck Bone; Foreign Body; Three-Dimensional Imaging; Virtual Endoscopy