Impact of COVID-19 on Oral and Maxillofacial Surgery: Preliminary Results After the Curfew

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Abstract

Introduction: The COVID-19 pandemic affects basic health care in maxillofacial surgery (MFS) due to the shift in resources and the change in patient disorders treated during the pandemic. This paper aims to elucidate the medical and financial consequences driven by the measures for COVID-19 treatment in a tertiary care centre.

Material and methods: To evaluate the impact of pandemic measures on daily routines of MFS, the surgical schedule during the first 2 weeks after the onset of the curfew (March 2020), and to compare it with the schedule of the same period of time 1 year earlier. Furthermore, postponed surgeries as well as cancelled follow-ups are listed. The loss of earning was calculated as well as the number and kind of postponed procedures.

Results: The number of surgeries decreased by 45% (n = 163 in 2019 vs n = 89 in 2020), and the duration of the surgeries decreased from 94.2 minutes to 62.1 minutes. No elective surgeries, such as implantology, aesthetic surgery, or orthognathic surgery, took place. Furthermore, also trauma cases decreased from 9 to 3 cases. Considering all variables, the financial loss can be calculated as approximately 100,256.50 Euros per week.

Conclusion: The impact of COVID-19 on MFS is certainly of medical and economic importance and is related to the duration of the pandemic.

Conflict of interest statement

The authors report no conflicts of interest.


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References

  1.  
    1. Sun P, Lu X, Xu C, et al. Understanding of COVID-19 based on current evidence. J Med Virol 2020; 92:548–551.
  2.  
    1. Hemmati F, Saedi S, Hemmati-Dinarvand M, et al. Mysterious virus: a review on behavior and treatment approaches of the novel coronavirus, 2019-nCoV. Arch Med Res 2020; 51:375–383.
  3.  
    1. Fiorillo L, Cervino G, Matarese M, et al. COVID-19 surface persistence: a recent data summary and its importance for medical and dental settings. Int J Environ Res Public Health 2020; 17:3132.
  4.  
    1. Kampf G, Todt D, Pfaender S, et al. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect 2020; 104:246–251.
  5.  
    1. Zhou J, Otter JA, Price JR, et al. Investigating SARS-CoV-2 surface and air contamination in an acute healthcare setting during the peak of the COVID-19 pandemic in London. Clin Infect Dis 2020; online ahead of print.
  6.  
    1. Wrapp D, Wang N, Corbett KS, et al. Cryo-EM Structure of the 2019-nCoV spike in the prefusion conformation. bioRxiv 2020; 367:1260–1263.
  7.  
    1. Simsek Yavuz S, Unal S. Antiviral treatment of COVID-19. Turk J Med Sci 2020; 50 (SI-1):611–619.
  8.  
    1. Chen ZM, Fu JF, Shu Q, et al. Diagnosis and treatment recommendations for pediatric respiratory infection caused by the 2019 novel coronavirus. World J Pediatr 2020; 16:240–246.
  9.  
    1. Remuzzi A, Remuzzi G. COVID-19 and Italy: what next? Lancet 2020; 395:1225–1228.
  10.  
    1. Gunner CK, Oliphant R, Watson AJ. Crises drive innovation. Colorectal Dis 2020; online only.
  11.  
    1. Abad C, Fearday A, Safdar N. Adverse effects of isolation in hospitalised patients: a systematic review. J Hosp Infect 2010; 76:97–102.
  12.  
    1. Collaborative CO. Global guidance for surgical care during the COVID-19 pandemic. Br J Surg 2020; 107:1097–1103.
  13.  
    1. Di Saverio S, Pata F, Gallo G, et al. Coronavirus pandemic and Colorectal surgery: practical advice based on the Italian experience. Colorectal Dis 2020; 22:625–634.
  14.  
    1. Pattisapu P, Evans SS, Noble AR, et al. Defining essential services for deaf and hard of hearing children during the COVID-19 pandemic. Otolaryngol Head Neck Surg 2020; 163:91–93.
  15.  
    1. Cascella M, Rajnik M, Cuomo A, et al. Features, Evaluation and Treatment Coronavirus (COVID-19). 2020; Treasure Island (FL): StatPearls, online only.
  16.  
    1. Cavallo LMA, Cicciù M, Oteri G. 3D Printing beyond Dentistry during COVID 19 Epidemic: A Technical Note for Producing Connectors to Breathing Devices. Prosthesis 2020; 2:46–52.
  17.  
    1. Sabino-Silva R, Jardim ACG, Siqueira WL. Coronavirus COVID-19 impacts to dentistry and potential salivary diagnosis. Clin Oral Investig 2020; 24:1619–1621.