Incidence of Maxillofacial Trauma Amid COVID-19: A Comparative Study

Vishal, .; Prakash, Om; Rohit, .; Prajapati, Virendra Kumar; Shahi, Ajoy Kumar; Khaitan, Tanya

doi:10.1007/s12663-020-01484-y

Cited by 34 publications

(48 citation statements)

References 11 publications

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“…This result is in contrast to the observation by Vishal et al affirming a significant increase in maxillofacial fractures produced by assault during the COVID-19 period attributed to the depression and anxiety affecting the mental health, increasing aggression and irritability of affected people. 3 …”

Section: Discussionmentioning

confidence: 99%

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Pattern of maxillofacial fractures in a Tertiary Referral Centre in Central Kerala - A comparison between the Pre-COVID and COVID periods

Philip

Dominic

et al. 2022

Journal of Oral Biology and Craniofacial Research

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Our aim was to observe if there was any appreciable difference in the etiology and pattern of maxillofacial fractures during the pre-COVID-19 and COVID-19 periods in Central Kerala, South India. This retrospective study was conducted with data over a period of two years from the central database registry of our hospital. Age, sex, etiology, date of injury, and site of facial fractures were recorded and compared between both the time periods. Increase in facial fractures due to fall at home (p value < 0.01) and decrease in mass casualty cases (p value < 0.01) were observed during the COVID-19 period. Pedestrians involved were significantly more in the pre-COVID-19 period (p value < 0.01) and heavy vehicle accidents producing facial fractures were significantly more in the COVID-19 period (p value < 0.01). Frontal bone ( p value = 0.008), nasal bone ( p value < 0.001) and zygomatico-maxillary complex fractures ( p value < 0.001) occurred significantly more in the COVID-19 time period whereas naso-orbito-ethmoidal ( p value = 0.003), mandibular ( p value = 0.011) and dentoalveolar fractures ( p value < 0.001) were seen significantly more in the pre-COVID-19 period. There was decrease in the total number of maxillofacial cases during the COVID-19 period. However, this was not significant when only the number of facial fractures were compared between the two periods. This study provided an insight on the differences in etiology and pattern of maxillofacial fractures during the pre-COVID-19 and COVID-19 periods. Road traffic accidents involving two wheelers predominate during the COVID-19 period also, prompting further critical exploration of the reasons behind this finding.

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Section: Discussionmentioning

confidence: 99%

“…Study by Vishal et al observed a massive drop in the number of maxillofacial trauma cases due to decrease in vehicular movements during the lockdown days. 3 …”

Section: Introductionmentioning

confidence: 99%

Pattern of maxillofacial fractures in a Tertiary Referral Centre in Central Kerala - A comparison between the Pre-COVID and COVID periods

Philip

Dominic

et al. 2022

Journal of Oral Biology and Craniofacial Research

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“…Our study results showed that the number of patients admitted to ED with MFTs decreased by 43.2% during the pandemic compared to the previous year. In the literature, the rate of MFTs decreased by 80% [13][14][15][16][17][18][19]. This can be attributed to the higher time spent at home due to restrictions worldwide.…”

Section: Discussionmentioning

confidence: 99%

“…Increased domestic violence and self-destruction may contribute to the increased rates [33]. Also, a higher perceived risk to COVID-19 infection may aggravate anticipatory fear and anxiety which affects mental health and makes individuals more aggressive and irritable during the crisis [18].…”

Section: Original Articlementioning

confidence: 99%

Impact of COVID-19 pandemic on maxillofacial trauma etiology

Özkan

Saraç

2021

Marmara Medical Journal

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Objective: Maxillofacial trauma (MFT) is a frequent presentation in the emergency department (ED) which requires a multidisciplinary approach. Although, its etiology and diversity of injuries are almost similar worldwide, the causes may differ among the countries depending on the sociocultural and environmental factors and local traffic regulations. This study aims to evaluate etiologies of maxillofacial traumas (MFTs) in ED and to compare etiologies of MFTs during COVID-19 pandemic with the previous year. Patients and Methods: Totally 84 (61 males, 23 females) patients admitted to ED of our center with MFT between March 15 th -April 30 th , 2020 were included. The control group consisted of 148 (112 males, 36 females) MFT patients admitted to ED in the previous year (March 15 th -April 30 th , 2019). Data including age, sex, cause of trauma, treatment, and COVID-19 infection status within 14 days after ED admission were compared between groups. Results: Mean age was 31.88±2.53 years in the patient group and 31.40±1.74 years in the control group. Number of patients admitted to ED with MFTs decreased by 43.3% during pandemic compared to the previous year. Majority of MFTs occurred at home, followed by public places, traffic, and workplaces in both time periods. During pandemic, the rate of home accidents increased and MFTs occurred in the public places decreased. Conclusion: COVID-19 pandemic-mandated social restrictions lead to a decrease in the number of MFTs. However, home accidents are the main cause of MFTs. Spread of COVID-19 infection in the hospital setting can be minimized with necessary precautions.

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“…Houve diminuição das ocorrências relacionadas aos traumas e complicações bucomaxilofaciais durante a pandemia pela COVID-19, assim como ocorreu em outros centros de referência para o mesmo tipo de trauma (Press, 2021;Vishal et al, 2020;Yeung, Brandsma, Karst, Smith, & Fan, 2021). Além disso as maiores reduções se relacionam com períodos de lockdown (Thiem et al, 2021).…”

Section: Discussionunclassified

Efeito da pandemia pela COVID-19 no serviço de cirurgia e traumatologia bucomaxilofacial: um estudo comparativo

Bohneberger

Júnior

Griza

et al. 2021

RSD

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A pandemia pela COVID-19 promoveu o comprometimento dos sistemas de saúde de diversos países. Este estudo retrospectivo foi realizado para avaliar o efeito provocado pela pandemia no serviço de Cirurgia e Traumatologia Bucomaxilofacial do Hospital Universitário do Oeste do Paraná, em Cascavel. Foram comparados os pacientes atendidos no período de pandemia, entre 16 de março de 2020 até 15 de março de 2021, com o mesmo período, um ano anterior, denominado pré-pandemia. Os dados foram categorizados com base no total de atendimentos, horário e data de admissão e etiologias. Variações de idade e sexo também foram avaliadas. Estatísticas foram admitidas com significância em p <0,05. Os resultados demonstram que houve redução dos casos durante a pandemia (n=321) comparado com o período pré-pandemia (n=423 p=0,03). Também houve diminuição nas admissões noturnas entre os períodos (n=126 e n=181, respectivamente) com significância (p=0,037). Em relação ao sexo, o perfil de pacientes masculinos apresentou redução (n=220 e n=303, p=0,005). A etiologia de casos de agressão física apresentou redução significativa (n=38 e n=64, p=0,016) assim como os casos de multifatorial (n=49 e n=97, p=0,011). O período de pandemia mostrou associação com a redução de pacientes com trauma bucomaxilofacial. Concluiu-se que a redução de casos admitidos no período noturno assim como de pacientes do sexo masculino pode ser atribuída como resultado das restrições de circulação que a pandemia impôs. O efeito do consequente distanciamento social, sugere uma diminuição no trauma bucomaxilofacial devido à agressão física.

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Incidence of Maxillofacial Trauma Amid COVID-19: A Comparative Study

Cited by 34 publications

References 11 publications

Pattern of maxillofacial fractures in a Tertiary Referral Centre in Central Kerala - A comparison between the Pre-COVID and COVID periods

Pattern of maxillofacial fractures in a Tertiary Referral Centre in Central Kerala - A comparison between the Pre-COVID and COVID periods

Impact of COVID-19 pandemic on maxillofacial trauma etiology

Efeito da pandemia pela COVID-19 no serviço de cirurgia e traumatologia bucomaxilofacial: um estudo comparativo

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