Maxillofac Plast Reconstr Surg.  2021;43(1):22. 10.1186/s40902-021-00309-3.

Removal of a suture needle: a case report

• Seon S
• Lee BS
• Choi BJ
• Ohe JY
• Lee JW
• Jung J
• Hwang BY
• Kim MA
• Kwon YD

• KMID: 2525706
• DOI: http://doi.org/10.1186/s40902-021-00309-3

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.

Keyword

Needle fracture; Suture needle; Iatrogenic foreign body; Foreign body removal; Oral cavity