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2020 ; 58
(6
): 698-703
Nephropedia Template TP
gab.com Text
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English Wikipedia
Provision of Emergency Maxillofacial Service During the COVID-19 Pandemic : A
Collaborative Five Centre UK Study
#MMPMID32482348
Blackhall KK
; Downie IP
; Ramchandani P
; Kusanale A
; Walsh S
; Srinivasan B
; Shields H
; Brennan PA
; Singh RP
Br J Oral Maxillofac Surg
2020[Jul]; 58
(6
): 698-703
PMID32482348
show ga
The global pandemic of Coronavirus disease (COVID-19) represents one of the
greatest challenges to healthcare systems, and has forced medical specialties to
rapidly adapt their approaches to patient care. Oral and Maxillofacial Surgery is
considered particularly at risk of disease transmission due to aerosol generation
during surgical interventions, patient proximity and operating environment. On
day 2 (26th March, 2020) of when severe restrictions in population movement were
instigated in the United Kingdom, we began a study to prospectively monitor the
presentation and management of maxillofacial emergencies at five hospital trusts.
Data was collected onto an online live database fed through a smartphone
application. Of the total 529 patients over six weeks, 395 attended for
face-to-face consultations and 134 patients received remote consultations via
telephone or video link. There were 255 trauma related cases, 221 infection and
48 cases of postoperative complications. Most trauma cases were minor soft tissue
injury related to slip, trip or fall at home. There were 44 cases of facial
fractures with a tendency for conservative treatment. 19 cases were related to
domestic violence or self-harm. Of the 216 dental related emergencies, 68% could
have been managed in the primary care setting. A quarter of all emergency
patients were satisfactorily managed by remote consultations. There was a
significant change in the provision of emergency maxillofacial service during the
pandemic lockdown. We discuss the study findings as well as the potential
implications in relation to planning for possible further COVID- 19 spikes and
future pandemics.