Changing of nasal fracture patterns in maxillofacial trauma consultation-impact of the covid-19 pandemic.

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-12-01 Epub Date: 2024-07-31 DOI:10.1007/s10006-024-01286-3

Florian Dudde, Wilken Bergmann, Thomas Telschow, Johannes Schunk, Oliver Schuck

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Abstract

Background: In 2020, the coronavirus SARS-CoV-2 led to a pandemic that had a major impact on the global health care systems. The aim of this study was to analyze the impact of the Covid-19 pandemic on nasal bone (NB) fracture patterns/distributions and circumstances in a German cranio-maxillofacial trauma center.

Materials and methods: This retrospective study compared the nasal fracture patterns of patients in the PreCovid (PC) era (February 2019 - January 2020) with patients in the IntraCovid (IC) era (February 2020 - January 2021). In addition to baseline characteristics, the type of NB fractures, the circumstances leading to NB fracture and hospital admissions/treatments were analyzed.

Results: The present study showed a significant decrease in the total number of NB fractures during the Covid-19 pandemic. In the IC period, a significant increase in falls and virus-/flu associated syncopes leading to NB fractures was detected. At the same time, a significant decrease in sports accidents, road traffic accidents and interpersonal violence leading to NB fractures was observed in the IC period. Under the influence of the Covid-19 pandemic, a significant increase in accidents at home, accidents during the weekdays and closed reductions under local anesthesia was detected when being compared to the PC period. The daytime of trauma leading to NB fractures also changed significantly from night-time (PC) to morning-time (IC).

Conclusion: The Covid-19 pandemic had a significant impact on the NB fracture circumstances and treatment modalities. Therefore, the results of this study can serve as a baseline for further studies of the impact of the Covid-19 pandemic on NB fracture patterns among different countries.

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颌面外伤会诊中鼻骨骨折模式的变化--covid-19大流行的影响。

背景：2020 年，冠状病毒 SARS-CoV-2 引发了一场大流行，对全球医疗保健系统产生了重大影响。本研究旨在分析 Covid-19 大流行对德国颅颌面创伤中心鼻骨（NB）骨折模式/分布和情况的影响：这项回顾性研究比较了PreCovid（PC）时代（2019年2月至2020年1月）与IntraCovid（IC）时代（2020年2月至2021年1月）患者的鼻骨骨折模式。除基线特征外，还分析了NB骨折的类型、导致NB骨折的情况以及入院/治疗情况：结果：本研究显示，在Covid-19大流行期间，NB骨折总数明显减少。在流感大流行期间，发现导致鼻骨骨折的跌倒和与病毒/流感相关的晕厥明显增加。与此同时，在 IC 期间，运动事故、道路交通事故和人际暴力导致的 NB 骨折明显减少。与 PC 阶段相比，在 Covid-19 大流行的影响下，居家意外事故、工作日意外事故和局部麻醉下的闭合性骨折显著增加。导致 NB 骨折的外伤发生时间也从夜间（PC）明显变为早晨（IC）：结论：Covid-19 大流行对 NB 骨折的情况和治疗方式产生了重大影响。因此，本研究结果可作为进一步研究 Covid-19 大流行对不同国家 NB 骨折模式影响的基线。

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来源期刊

Oral and Maxillofacial Surgery-Heidelberg DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.20

自引率

5.60%

发文量

118

期刊介绍： Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).