Management of oral and maxillofacial trauma during the first wave of the COVID-19 pandemic in the United Kingdom

Autor: F.A. Puglia, A. Hills, B. Dawoud, P. Magennis, G.A. Chiu, Aidan Adams, Ayesha Ahmed, Huma Aiman, Aya Al-Harbawee, Lucy Alderson, Jack Allison, Mariam Asaad, Katriana Bacik, Indran Balasundaram, Lydia Barker-Chapman, Sherif Bayoumi, Robert Bentley, Vyomesh Bhatt, Manuel Blanco-Guzman, Angela Boscarino, Raghu Boyapati, Deborah Boyd, Theo Boye, Dirk Stephanus Brandsma, Laura Brooks, Timothy Brown, Marta Cabral, Micheala Camilleri, Kris Carroll, Laura Chapman, Geoff Chiu, Gulshana Choudhury, Anna Chrystal, Tom Cole, Zachary Cole-Healy, Benjamin Collard, Sarah Crummey, Roger Currie, Huw T. Davies, Rumandeep Dhillon, David Drake, Rebecca Exley, Kathleen Fan, Shona Feare, David Fisher, Cristina Frezzini, Lynne Fryer, Andrew Fulton, Andrew Gardner, Shona Garland, Peter Glen, David Graham, Catherine Grant, Elizabeth Gruber, Ben Gurney, Nick Hampton, Abeer Hasan, Kerry Herd, Stuart Hislop, Michael Ho, David Houghton, Ceri Hughes, Hannah Huguet, Huw Jones, Shyam Karia, Felix W. Karst, Karim Kassam, Mairead Kelly, Steven Key, Rhydian King, Saranya Konathala, Raghav Kulkarni, Anand Kumar, Deepshikha Kumar, Paul Lang, Kirstie Lau, David Laugharne, Nicholas J. Lee, Leh Lim, Jasmine Loke, Terrence Lowe, Patrick Magennis, Vasanthan Manoharan, Louisa McCaffrey, Nicola McCurley, Christopher McDonald, Edward McParland, Hussein Mohammedbhai, Colm Murphy, Dara Murphy, Ayesha Mustafa, Prady Naredla, Kowoon Noh, Kerry O'Brien, Kevin O'Grady, Lewis Olsson, Joan Onochie, Anika Patel, Ankit Patel, Jayna Patel, Sachit Patel, Rajat Paul, Samantha Plant, Eoin Power, Dhulshan Preena, Euan Rae, Eson Rasikh, Neelam Rathod, Dhurrika Raveendran, Zahrah Raza, Charlotte Richards, Hamed Safaei, Sunil Sah, Kiren Sall, Susan Sanders, Rupert Scott, Keval Shah, Kishore Shekar, Faheema Sidat, Branan Sivanantha, Claire Skimming, James Sloane, Caroline Smith, Avraj Sohanpal, Janki Solanki, Kohmal Solanki, Andrew Stirrup, Imran Suida, Jill Sweeney, Eleanor Swinnerton, Eilidh Thomas, Sundeep Thusu, Hannah Tompkins, Clare Tyers, Drazsen Vuity, Tom Walker, Callum Wemyss, Fiona Wright, Elizabeth Yeung, Lindsey Young
Rok vydání: 2021
Předmět:
Zdroj: The British Journal of Oral & Maxillofacial Surgery
ISSN: 0266-4356
Popis: Background We assess the effect of Coronavirus disease 2019 (COVID-19) on UK oral and maxillofacial (OMF) trauma services and patient treatment during the first wave of the pandemic. Materials and Methods From April 1st 2020 until July 31st 2020, OMF Surgery units in the UK were invited to prospectively record all patients presenting with OMF trauma. Information gathered included clinical presentation, mechanism of injury, and how it was managed and whether or not treatment included surgery. Participants were also asked to compare the patient’s care with the treatment, which would have usually been given prior to the crisis. Results Twenty-nine units across the UK contributed with 2229 entries. The most common aetiology was mechanical fall (39%). The most common injuries were soft tissue wounds (52%) and mandible fractures (13%) for hard tissues. Of 876 facial fractures, 79 patients had treatment, which differed from that which would be normal pre-COVID and 33 had treatment deferred meaning 112 (14%) patients received care at variance to normal practice because of COVID restrictions. Conclusions The pattern of OMFS injuries changed during the first COVID-19 lockdown period. For the majority, best practice and delivery of quality trauma care continued in spite on-going operational challenges. Changes to treatment affected only a small proportion of patients. The lessons learnt from the first wave combined with adequate resources and pre-operative patient testing should allow those facial injuries in the second wave to receive best practice care.
Databáze: OpenAIRE