Maxillofacial Trauma Management During COVID-19: Multidisciplinary Recommendations

Edwards, Sean P.; Kasten, Steven J.; Nelson, Christine A.; Elner, Vic; McKean, Erin L.

doi:10.1089/fpsam.2020.0158

Cited by 55 publications

(65 citation statements)

References 4 publications

(4 reference statements)

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“…As a result, some patients could be damaged because of an undetected worsening of a long-standing lesion while in waiting list for planned elective surgery. Other surgical specialties are facing the same problem, due to the restriction in elective surgery procedures [15,16]. Emergency surgery addresses a broad spectrum of diseases of traumatic genesis or acute illness that need surgical treatment [17].…”

Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 in plastic surgery departments: a comparative retrospective study in a COVID-19 and in a non-COVID-19 hospital

et al. 2020

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Background COVID-19 is a new human-infecting coronavirus for which the World Health Organization declared a global pandemic. The first Italian cases occurred in February 2020: since then, there has been an exponential increase in new cases, hospitalizations and intensive care assistance demand. This new and sudden scenario led to a forced National Health System reorganization and review of welfare priorities. The aim of this study is to evaluate the effects of this pandemic on ordinary activities in two plastic surgery divisions in Rome, hosted in a COVID-19 and a non-COVID-19 hospital. Methods The data of this comparative retrospective study was collected between 9 March and 9 April 2019 and the same period of 2020 from two plastic surgery units, one in a COVID-19 hospital and second in a non-COVID-19 hospital in Rome, Italy. The 2019–2020 data of the two hospitals was compared regarding the number of surgeries, post-operative dressings and first consultations performed. Results Both units sustained a decrease in workload due to lockdown effects. Statistically significant differences for day surgery procedures (p value = 0.0047) and first consultations (p value < 0.0001) were found between the COVID-19 and non-COVID-19 institutes, with a drastic trend limiting non-urgent access to COVID-19 hospitals. Conclusions The long-term effects of healthcare reshuffling in the “COVID-19 era” imply a delay in the diagnosis and treatment of skin cancer and cancellation of many reconstructive procedures. These findings pose a question on the future consequences of a long-term limitation in plastic surgery healthcare. Level of evidence: Level III, risk/prognostic study.

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Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 in plastic surgery departments: a comparative retrospective study in a COVID-19 and in a non-COVID-19 hospital

et al. 2020

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“…To lower the risk of infection and to rationalize the resources such as the PPE, it has been suggested to limit the number of staff in the OR and during outpatient procedures to the minimum required, thus creating some difficulties in training residents [7]. Therefore, the use of cameras and teleteaching should be encouraged and implemented to maintain high standards [8].…”

Section: Discussionmentioning

confidence: 99%

Emerging challenges and possible strategies in maxillo-facial and oral surgery during the COVID-19 pandemic

et al. 2020

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The Coronavirus disease 2019 (COVID-19) pandemic suddenly took the world by storm and Italy was one of the hardest hit countries. Maxillo-facial surgery and dentistry procedures had to be significantly reorganized, since they are considered high-risk procedures. Protocols had to be changed and interdepartmental cooperation was put in place to plan surgical interventions and maintain high standards. Various improvements have been made to prevent and reduce the risks of spreading the infection. Even if the situation seems to have improved, being unprepared is not an option. In this paper the experience gained during these months has been shared and possible future challenges has been highlighted, suggesting practical adjustments based also on new guidelines and recommendations.

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“…Estratificación de riesgo con base en el tipo de procedimiento y generación de aerosoles potencialmente con partículas virales y recomendaciones de seguridad. [78][79][80] Médicos y otros trabajadores de la salud que participan en exámenes y procedimientos en las regiones de la cabeza y el cuello, del tubo digestivo alto y de las vías respiratorias tienen un riesgo particularmente alto de contagio por la exposición y contaminación por aerosoles y gotas, reportes de Wuhan en China de 138 pacientes hospitalizados por COVID-19, 40 eran trabajadores de la salud. [78][79][80] • Consulta de pacientes sin realizar procedimientos.…”

Section: Importancia De Estratificar Los Procedimientos Quirúrgicos Dunclassified

Reactivación de la consulta y cirugía electiva durante la pandemia: recomendaciones de seguridad. Medicina Basada en Evidencia

Cuenca-Pardo¹,

Vélez-Benítez²,

Morales-Olivera³

et al. 2020

Cirugía Plástica

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Maxillofacial Trauma Management During COVID-19: Multidisciplinary Recommendations

Cited by 55 publications

References 4 publications

The impact of COVID-19 in plastic surgery departments: a comparative retrospective study in a COVID-19 and in a non-COVID-19 hospital

The impact of COVID-19 in plastic surgery departments: a comparative retrospective study in a COVID-19 and in a non-COVID-19 hospital

Emerging challenges and possible strategies in maxillo-facial and oral surgery during the COVID-19 pandemic

Reactivación de la consulta y cirugía electiva durante la pandemia: recomendaciones de seguridad. Medicina Basada en Evidencia

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