We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Beugesehnenscheidenphlegmone nach Stichverletzung mit kieferorthopädischem Stahlbogen.
- Authors
Schmid, Carmen; Moeller, Richard-Tobias; Kahl-Nieke, Bärbel
- Abstract
In the orthodontic occupational routine the phlegmon constitutes an extremely rare, but severe complication of a stab wound with an orthodontic archwire. This case report demonstrates a stab wound located in the skin fold of the metacarpophalangeal joint caused by a steel archwire. Initially the injury appeared minimal, while in the further course it evolved into a phlegmon of the tendon sheaths showing typical symptoms. A surgical revision was executed under plexus anesthesia with smear, rinsing, drainage and a skin suture followed by specific antibiotics. In case of a phlegmon of the tendon sheaths early consultation of an accident insurance consultant or rather a surgical revision is mandatory to avoid severe consequences. The usage of specific antibiotics is advisable. Preventively we recommend a prudent handling of contaminated sharp instruments and materials, the optimization of the oral hygiene before and during orthodontic treatment as well as reduction of bacteria by rinsing with chlorhexidine digluconate solution prior to the treatment.
- Subjects
PHLEGMON; TENDONS; ORTHODONTICS; ORAL hygiene; ANTIBIOTICS
- Publication
Kieferorthopädie: die Zeitschrift für die Praxis, 2019, Vol 33, Issue 2, p163
- ISSN
0945-7917
- Publication type
Article