Surgical Management and Proposed Protocol for Iatrogenic Separation of Bur During Maxillofacial Surgery.

Medical device separation or breakage is not an uncommon incident in routine maxillofacial surgery. The maxillofacial surgical procedures utilize various devices like piezosurgery tips, tungsten carbide burs, chisels and elevators. Instrument breakage or separation may be attributed to substandard grade, overused blunt instruments, repeated autoclaving, improper force application and overheating of instruments.