{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T07:12:37Z","timestamp":1789542757967,"version":"build-2803163510"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,7,5]],"date-time":"2021-07-05T00:00:00Z","timestamp":1625443200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,7,5]],"date-time":"2021-07-05T00:00:00Z","timestamp":1625443200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Maxillofac Plast Reconstr Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>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.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>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.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>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.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40902-021-00309-3","type":"journal-article","created":{"date-parts":[[2021,7,5]],"date-time":"2021-07-05T11:03:04Z","timestamp":1625482984000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Removal of a suture needle: a case report"],"prefix":"10.1186","volume":"43","author":[{"given":"Suyun","family":"Seon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baek-Soo","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byung-Joon","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joo-Young","family":"Ohe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung-Woo","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junho","family":"Jung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo-Yeon","family":"Hwang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min-Ah","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9620-4814","authenticated-orcid":false,"given":"Yong-Dae","family":"Kwon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,7,5]]},"reference":[{"key":"309_CR1","doi-asserted-by":"publisher","unstructured":"Jayadevan R, Stensland K, Small A, Hall S, Palese M (2014) A protocol to recover needles lost during minimally invasive surgery. JSLS 18. https:\/\/doi.org\/10.4293\/JSLS.2014.00165","DOI":"10.4293\/JSLS.2014.00165"},{"issue":"12","key":"309_CR2","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1038\/sj.bdj.4809128","volume":"180","author":"T McDonogh","year":"1996","unstructured":"McDonogh T (1996) An unusual case of trismus and dysphagia. Br Dent J 180(12):465\u2013466. https:\/\/doi.org\/10.1038\/sj.bdj.4809128","journal-title":"Br Dent J"},{"issue":"1","key":"309_CR3","first-page":"35","volume":"25","author":"S Bhatia","year":"1998","unstructured":"Bhatia S, Bounds G (1998) A broken needle in the pterygomandibular space: report of a case and review of the literature. Dent Update 25(1):35\u201337","journal-title":"Dent Update"},{"issue":"2","key":"309_CR4","first-page":"153","volume":"24","author":"R Zeltser","year":"2002","unstructured":"Zeltser R, Cohen C, Casap N (2002) The implications of a broken needle in the pterygomandibular space: clinical guidelines for prevention and retrieval. Pediatr Dent 24(2):153\u2013156","journal-title":"Pediatr Dent"},{"issue":"6","key":"309_CR5","doi-asserted-by":"publisher","first-page":"642","DOI":"10.1054\/ijom.2003.0430","volume":"32","author":"M Thompson","year":"2003","unstructured":"Thompson M, Wright S, Cheng LH, Starr D (2003) Locating broken dental needles. Int J Oral Maxillofac Surg 32(6):642\u2013644. https:\/\/doi.org\/10.1054\/ijom.2003.0430","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"7","key":"309_CR6","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1038\/bdj.2007.272","volume":"202","author":"M Ethunandan","year":"2007","unstructured":"Ethunandan M, Tran AL, Anand R, Bowden J, Seal MT, Brennan PA (2007) Needle breakage following inferior alveolar nerve block: implications and management. Br Dent J 202(7):395\u2013397. https:\/\/doi.org\/10.1038\/bdj.2007.272","journal-title":"Br Dent J"},{"issue":"3","key":"309_CR7","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1016\/j.stomax.2006.10.005","volume":"108","author":"I Dojcinovic","year":"2007","unstructured":"Dojcinovic I, Hugentobler M, Richter M (2007) Needle breakage: a rare and potentially dangerous complication during local anesthesia. [French]. Rev Stomatol Chir Maxillofac 108(3):222\u2013224. https:\/\/doi.org\/10.1016\/j.stomax.2006.10.005","journal-title":"Rev Stomatol Chir Maxillofac"},{"issue":"3","key":"309_CR8","doi-asserted-by":"publisher","first-page":"351","DOI":"10.2334\/josnusd.50.351","volume":"50","author":"S Nezafati","year":"2008","unstructured":"Nezafati S, Shahi S (2008) Removal of broken dental needle using mobile digital C-arm. J Oral Sci 50(3):351\u2013353. https:\/\/doi.org\/10.2334\/josnusd.50.351","journal-title":"J Oral Sci"},{"issue":"12","key":"309_CR9","doi-asserted-by":"publisher","first-page":"1517","DOI":"10.14219\/jada.archive.2009.0103","volume":"140","author":"MA Pogrel","year":"2009","unstructured":"Pogrel MA (2009) Broken local anesthetic needles: a case series of 16 patients, with recommendations. J Am Dent Assoc 140(12):1517\u20131522. https:\/\/doi.org\/10.14219\/jada.archive.2009.0103","journal-title":"J Am Dent Assoc"},{"key":"309_CR10","first-page":"159","volume":"8","author":"BR Chrcanovic","year":"2009","unstructured":"Chrcanovic BR, Menezes DC Jr, Cust\u00f3dio ALN (2009) Complication of local dental anesthesia - a broken needle in the pterygomandibular space. Braz J Oral Sci 8:159\u2013162","journal-title":"Braz J Oral Sci"},{"key":"309_CR11","first-page":"1263","volume":"60","author":"M Augello","year":"2009","unstructured":"Augello M, von Jackowski J, Dannemann C (2009) Nadelbruch als Komplikation bei der intraoralen Leitungsan\u00e4sthesie im Unterkiefer. [German]. Quintessenz 60:1263\u20131267","journal-title":"Quintessenz"},{"issue":"6","key":"309_CR12","first-page":"534","volume":"58","author":"A Hassani","year":"2010","unstructured":"Hassani A, Motamedi M, Sadrimanesh R, Varshosaz M, Moshiri R, Vahdati SA, Sadr-Eshkevari P (2010) Use of cone beam computed tomography to detect and remove a broken suture needle. Gen Dent 58(6):534\u2013536","journal-title":"Gen Dent"},{"issue":"6","key":"309_CR13","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1111\/j.1600-9657.2010.00939.x","volume":"26","author":"M Sencimen","year":"2010","unstructured":"Sencimen M, Bayar GR, Gulses A (2010) Removal of the retained suture needle under C-arm fluoroscopy: a technical note. Dent Traumatol 26(6):527\u2013529. https:\/\/doi.org\/10.1111\/j.1600-9657.2010.00939.x","journal-title":"Dent Traumatol"},{"key":"309_CR14","first-page":"98","volume":"27","author":"FB Prado","year":"2010","unstructured":"Prado FB, Caria PFH, Martins EC, Daruge E (2010) Dental broken needle migration to the skull base, anatomical considerations and prevention. J Morphol Sci 27:98\u2013101","journal-title":"J Morphol Sci"},{"key":"309_CR15","first-page":"b64","volume":"77","author":"JB Rifkind","year":"2011","unstructured":"Rifkind JB (2011) Management of a broken needle in the pterygomandibular space following a Vazirani-Akinosi block: case report. J Can Dent Assoc 77:b64","journal-title":"J Can Dent Assoc"},{"issue":"7-8","key":"309_CR16","first-page":"337","volume":"61","author":"C Bacci","year":"2012","unstructured":"Bacci C, Mariuzzi ML, Ghirotto C, Fusetti S (2012) Local anesthesia needle breakage in a 5-year-old child during inferior alveolar nerve block with the Vazirani-Akinosi technique. [English, Italian]. Minerva Stomatol 61(7-8):337\u2013340","journal-title":"Minerva Stomatol"},{"issue":"5","key":"309_CR17","doi-asserted-by":"publisher","first-page":"1583","DOI":"10.1097\/SCS.0b013e3182505527","volume":"23","author":"M Brucoli","year":"2012","unstructured":"Brucoli M, Deandreis M, Arcuri F, Benech A (2012) Management of a needle breakage during third molar extraction with C-ARM digital fluoroscope. J Craniofac Surg 23(5):1583\u20131584. https:\/\/doi.org\/10.1097\/SCS.0b013e3182505527","journal-title":"J Craniofac Surg"},{"issue":"11-12","key":"309_CR18","first-page":"455","volume":"62","author":"C Catelani","year":"2013","unstructured":"Catelani C, Valente A, Rossi A, Bertolai R (2013) Broken anesthetic needle in the pterygomandibular space, four case reports. [English, Italian]. Minerva Stomatol 62(11-12):455\u2013463","journal-title":"Minerva Stomatol"},{"issue":"11","key":"309_CR19","doi-asserted-by":"publisher","first-page":"1819","DOI":"10.1016\/j.joms.2013.07.023","volume":"71","author":"G Gerbino","year":"2013","unstructured":"Gerbino G, Zavattero E, BerroneM BS (2013) Management of needle breakage using intraoperative navigation following inferior alveolar nerve block. J Oral Maxillofac Surg 71(11):1819\u20131824. https:\/\/doi.org\/10.1016\/j.joms.2013.07.023","journal-title":"J Oral Maxillofac Surg"},{"issue":"5","key":"309_CR20","doi-asserted-by":"publisher","first-page":"251","DOI":"10.5125\/jkaoms.2013.39.5.251","volume":"39","author":"JH Kim","year":"2013","unstructured":"Kim JH, Moon SY (2013) Removal of a broken needle using three-dimensional computed tomography: a case report. J Korean Assoc Oral Maxillofac Surg 39(5):251\u2013253. https:\/\/doi.org\/10.5125\/jkaoms.2013.39.5.251","journal-title":"J Korean Assoc Oral Maxillofac Surg"},{"key":"309_CR21","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1016\/j.revsto.2013.02.002","volume":"114","author":"R Nicot","year":"2013","unstructured":"Nicot R, Maes JM, Raoul G, Ferri J (2013) Head and neck cellulitis caused by a broken anesthesia needle. [French]. Rev Stomatol Chir Maxillofac Chir Orale 114:180\u2013183. https:\/\/doi.org\/10.1016\/j.revsto.2013.02.002","journal-title":"Rev Stomatol Chir Maxillofac Chir Orale"},{"issue":"5","key":"309_CR22","first-page":"241","volume":"59","author":"N Rahman","year":"2013","unstructured":"Rahman N, Clarke M, Stassen LF (2013) Case report: management of broken dental needles in practice. J Ir Dent Assoc 59(5):241\u2013245","journal-title":"J Ir Dent Assoc"},{"key":"309_CR23","doi-asserted-by":"publisher","unstructured":"Ribeiro L, Ramalho S, Ger\u00f3s S, Ferreira EC, Faria e Almeida A, Cond\u00e9 A (2014) Needle in the external auditory canal: an unusual complication of inferior alveolar nerve block. Oral Surg Oral Med Oral Pathol Oral Radiol 117:e436\u2013e437. https:\/\/doi.org\/10.1016\/j.oooo.2013.09.014, 6","DOI":"10.1016\/j.oooo.2013.09.014"},{"key":"309_CR24","first-page":"1385","volume":"65","author":"S Acham","year":"2014","unstructured":"Acham S, Reinbacher KE (2014) Nadelbruch im Rahmen der zahn\u00e4rztlichen Lokalan\u00e4sthesie. [German]. Quintessenz 65:1385\u20131393","journal-title":"Quintessenz"},{"issue":"3","key":"309_CR25","doi-asserted-by":"publisher","first-page":"270","DOI":"10.12968\/denu.2015.42.3.270","volume":"42","author":"E Bailey","year":"2015","unstructured":"Bailey E, Rao J, Saksena A (2015) A case report: fractured needle in the pterygomandibular space following administration of an inferior dental nerve block. Dent Update 42(3):270\u2013272. https:\/\/doi.org\/10.12968\/denu.2015.42.3.270","journal-title":"Dent Update"},{"issue":"2","key":"309_CR26","doi-asserted-by":"publisher","first-page":"e42","DOI":"10.1097\/MAO.0000000000000690","volume":"36","author":"JT Casey","year":"2015","unstructured":"Casey JT, Lupo JE, Jenkins HA (2015) Retained dental needle migration across the skull base to the cochlea presenting as hearing loss. Otol Neurotol 36(2):e42\u2013e45. https:\/\/doi.org\/10.1097\/MAO.0000000000000690","journal-title":"Otol Neurotol"},{"issue":"2","key":"309_CR27","doi-asserted-by":"publisher","first-page":"e55","DOI":"10.1016\/j.oooo.2014.08.019","volume":"119","author":"TY Lee","year":"2015","unstructured":"Lee TY, Zaid WS (2015) Broken dental needle retrieval using a surgical navigation system: a case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol 119(2):e55\u2013e59. https:\/\/doi.org\/10.1016\/j.oooo.2014.08.019","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"issue":"2","key":"309_CR28","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1177\/0003489414547106","volume":"124","author":"Y Okumura","year":"2015","unstructured":"Okumura Y, Hidaka H, Seiji K, Nomura K, Takata Y, Suzuki T, Katori Y (2015) Unique migration of a dental needle into the parapharyngeal space: successful removal by an intraoral approach and simulation for tracking visibility in X-ray fluoroscopy. Ann Otol Rhinol Laryngol 124(2):162\u2013167. https:\/\/doi.org\/10.1177\/0003489414547106","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"10","key":"309_CR29","doi-asserted-by":"publisher","first-page":"1911","DOI":"10.1016\/j.joms.2015.04.033","volume":"73","author":"KM Stein","year":"2015","unstructured":"Stein KM (2015) Use of intraoperative navigation for minimally invasive retrieval of a broken dental needle. J Oral Maxillofac Surg 73(10):1911\u20131916. https:\/\/doi.org\/10.1016\/j.joms.2015.04.033","journal-title":"J Oral Maxillofac Surg"},{"key":"309_CR30","doi-asserted-by":"publisher","first-page":"372153","DOI":"10.1155\/2015\/372153","volume":"2015","author":"S Aktop","year":"2015","unstructured":"Aktop S, Gocmen G, Ozturk ME, Gonul O, Varol A (2015) A rare case of a lost suture needle during third molar surgery. Case Rep Dent 2015:372153\u2013372153. https:\/\/doi.org\/10.1155\/2015\/372153","journal-title":"Case Rep Dent"},{"issue":"4","key":"309_CR31","doi-asserted-by":"publisher","first-page":"e338","DOI":"10.1097\/SCS.0000000000002507","volume":"27","author":"SB Queiroz","year":"2016","unstructured":"Queiroz SB, Lima VN, Amorim PH, Magro-Filho O, Amorim RF (2016) Retrieval of a broken dental needle close to the facial artery after cervical migration. J Craniofac Surg 27(4):e338\u2013e340. https:\/\/doi.org\/10.1097\/SCS.0000000000002507","journal-title":"J Craniofac Surg"},{"key":"309_CR32","first-page":"865","volume":"70","author":"T Blum","year":"1928","unstructured":"Blum T (1928) A report of 100 cases of hypodermic needles broken during the administration of oral local anaesthesia. Dent Cosmos 70:865\u2013874","journal-title":"Dent Cosmos"},{"issue":"1","key":"309_CR33","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s00784-010-0442-6","volume":"15","author":"M Augello","year":"2011","unstructured":"Augello M, von Jackowski J, Gr\u00e4tz KW, Jacobsen C (2011) Needle breakage during local anesthesia in the oral cavity - a retrospective of the last 50 years with guidelines for treatment and prevention. Clin Oral Investig 15(1):3\u20138. https:\/\/doi.org\/10.1007\/s00784-010-0442-6","journal-title":"Clin Oral Investig"},{"issue":"6","key":"309_CR34","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1016\/0030-4220(52)90247-8","volume":"5","author":"WH Archer","year":"1952","unstructured":"Archer WH, Mangie AS, Irby WB (1952) Removal of a broken mandibular needle using a modified Kazanjian guide; report of a case. Oral Surg Oral Med Oral Pathol 5(6):609\u2013614. https:\/\/doi.org\/10.1016\/0030-4220(52)90247-8","journal-title":"Oral Surg Oral Med Oral Pathol"},{"issue":"2","key":"309_CR35","first-page":"48","volume":"20","author":"S Kennett","year":"1973","unstructured":"Kennett S, Curran JB, Jenkins GR (1973) Management of a broken hypodermic needle: report of a case. Anesth Prog 20(2):48\u201350","journal-title":"Anesth Prog"},{"issue":"5","key":"309_CR36","doi-asserted-by":"publisher","first-page":"685","DOI":"10.14219\/jada.archive.1999.0278","volume":"130","author":"RD Bedrock","year":"1999","unstructured":"Bedrock RD, Skigen A, Dolwick MF (1999) Retrieval of a broken needle in the pterygomandibular space. J Am Dent Assoc 130(5):685\u2013687. https:\/\/doi.org\/10.14219\/jada.archive.1999.0278","journal-title":"J Am Dent Assoc"},{"issue":"20-22","key":"309_CR37","doi-asserted-by":"publisher","first-page":"25","DOI":"10.12968\/denu.2009.36.1.20","volume":"36","author":"A Shah","year":"2009","unstructured":"Shah A, Mehta N, Von Arx DP (2009) Fracture of a dental needle during administration of an inferior alveolar nerve block. Dent Update 36(20-22):25\u2013687. https:\/\/doi.org\/10.12968\/denu.2009.36.1.20","journal-title":"Dent Update"},{"issue":"7","key":"309_CR38","first-page":"28","volume":"52","author":"JF Pietruszka","year":"1986","unstructured":"Pietruszka JF, Hoffman D, Mcgivern BE Jr (1986) A broken dental needle and its surgical removal: a case report. N Y State Dent J 52(7):28\u201331","journal-title":"N Y State Dent J"},{"issue":"1","key":"309_CR39","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1016\/S0022-3476(63)80316-9","volume":"63","author":"R Cohen","year":"1963","unstructured":"Cohen R (1963) The removal of an imbedded broken suture needle by a simple magnet. J Pediatr 63(1):164\u2013165. https:\/\/doi.org\/10.1016\/S0022-3476(63)80316-9","journal-title":"J Pediatr"},{"key":"309_CR40","first-page":"567","volume":"32","author":"SS Park","year":"2010","unstructured":"Park SS, Yang HJ, Hwang SJ (2010) Removal of broken instruments in soft tissue at mandibular area using a dental mini C-arm. J Korean Assoc Oral Maxillofac Surg 32:567\u2013572","journal-title":"J Korean Assoc Oral Maxillofac Surg"}],"container-title":["Maxillofacial Plastic and Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40902-021-00309-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40902-021-00309-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40902-021-00309-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,5]],"date-time":"2021-07-05T11:11:41Z","timestamp":1625483501000},"score":1,"resource":{"primary":{"URL":"https:\/\/jkamprs.springeropen.com\/articles\/10.1186\/s40902-021-00309-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,5]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["309"],"URL":"https:\/\/doi.org\/10.1186\/s40902-021-00309-3","relation":{},"ISSN":["2288-8586"],"issn-type":[{"value":"2288-8586","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,5]]},"assertion":[{"value":"18 March 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 June 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 July 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Non applicable","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent has been obtained from the patient for publication of this case report and the accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"We have no conflicts of interest or connected interests with this work. We declare that we have no competing financial interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"22"}}