{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T06:15:03Z","timestamp":1758608103566,"version":"3.44.0"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Local anaesthesia and nerve block are common practices in dental therapy. Although they are associated with low rate of complications, local events such as needle fracture could entail life threatening consequences. We present a case of a needle fracture in a 4\u00a0year old girl who underwent a minor dental procedure. The needle migrated intracranially through the foramen ovale. She required a multidisciplinary management with a final neurosurgical intervention in order to remove it. In addition to an initial diagnostic computerized tomography (CT), it was of utmost importance to have access to an intraoperative imaging tools (preferably low radiation CT in paediatric population) to monitor the potential risk of needle migration. This report demonstrates that a broken needle may migrate intracranially, among other complications, underscoring the importance of managing these cases in a tertiary referral hospital with the appropriate equipment and specialists.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf662","type":"journal-article","created":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T05:25:26Z","timestamp":1758605126000},"source":"Crossref","is-referenced-by-count":0,"title":["Multidisciplinary management of intracranial migration of a fractured dental needle through the foramen ovale: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Josep","family":"Rubio-Palau","sequence":"first","affiliation":[{"name":"Maxillofacial Surgery Unit , Sant Joan de D\u00e9u Hospital (SJD), Passeig Sant Joan de D\u00e9u 2, 08950, Esplugues de Llobregat ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2749-5135","authenticated-orcid":false,"given":"Ferran","family":"Escrigas-Ca\u00f1ameras","sequence":"additional","affiliation":[{"name":"Plastic , Reconstructive and Aesthetic Surgery Department, Hospital Cl\u00ednic de Barcelona (HCB), Carrer Villarroel 170, 08011, Barcelona ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adaia","family":"Valls-Onta\u00f1on","sequence":"additional","affiliation":[{"name":"Maxillofacial Surgery Unit , Sant Joan de D\u00e9u Hospital (SJD), Passeig Sant Joan de D\u00e9u 2, 08950, Esplugues de Llobregat ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert","family":"Malet-Contreras","sequence":"additional","affiliation":[{"name":"Maxillofacial Surgery Unit , Sant Joan de D\u00e9u Hospital (SJD), Passeig Sant Joan de D\u00e9u 2, 08950, Esplugues de Llobregat ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Victoria","family":"Becerra-Castro","sequence":"additional","affiliation":[{"name":"Neurosurgery Department , Sant Joan de D\u00e9u Hospital (SJD), Passeig Sant Joan de D\u00e9u 2, 08950, Esplugues de Llobregat ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordi","family":"Muchart-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Radiology Department , Sant Joan de D\u00e9u Hospital (SJD), Passeig Sant Joan de D\u00e9u 2, 08950, Esplugues de Llobregat ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Hinojosa-Bernal","sequence":"additional","affiliation":[{"name":"Neurosurgery Department , Sant Joan de D\u00e9u Hospital (SJD), Passeig Sant Joan de D\u00e9u 2, 08950, Esplugues de Llobregat ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,9,23]]},"reference":[{"key":"2025092301252383700_ref1","doi-asserted-by":"publisher","first-page":"97","DOI":"10.17245\/jdapm.2015.15.2.97","article-title":"The surgical retrieval of a broken dental needle: a case report","volume":"15","author":"Lee","year":"2015","journal-title":"J Dent Anesth Pain Med"},{"key":"2025092301252383700_ref2","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1007\/s10006-022-01078-7","article-title":"Observational and descriptive analysis of broken dental needles: a case series","volume":"27","author":"Sandre","year":"2023","journal-title":"Oral Maxillofac Surg"},{"key":"2025092301252383700_ref3","doi-asserted-by":"publisher","first-page":"1109","DOI":"10.1007\/s00784-018-2525-8","article-title":"Needle fracture as a complication of dental local anesthesia: recommendations for prevention and a comprehensive treatment algorithm based on literature from the past four decades","volume":"23","author":"Acham","year":"2019","journal-title":"Clin Oral Investig"},{"key":"2025092301252383700_ref4","doi-asserted-by":"publisher","first-page":"E168","DOI":"10.1093\/ons\/opz329","article-title":"Retrieval of an intracranially migrated dental injection needle through the foramen ovale: 2-dimensional operative video","volume":"19","author":"Aoun","year":"2020","journal-title":"Oper Neurosurg"},{"key":"2025092301252383700_ref5","doi-asserted-by":"publisher","first-page":"1819","DOI":"10.1016\/j.joms.2013.07.023","article-title":"Management of needle breakage using intraoperative navigation following inferior alveolar nerve block","volume":"71","author":"Gerbino","year":"2013","journal-title":"J Oral Maxillofac Surg"},{"key":"2025092301252383700_ref6","first-page":"153","article-title":"The implications of a broken needle in the pterygomandibular space: clinical guidelines for prevention and retrieval","volume":"24","author":"Zeltser","year":"2002","journal-title":"Pediatr Dent"}],"container-title":["Journal of Surgical Case 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