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Kfoury P, Stout JC, Palacios VJ, Yang W, Molin NL, Firpo MA, Park AH. Perspectives on the Impact of the COVID-19 Pandemic on Research: A Cross-Sectional Survey of Pediatric Otolaryngologists. Cureus 2024; 16:e60436. [PMID: 38883003 PMCID: PMC11179676 DOI: 10.7759/cureus.60436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/16/2024] [Indexed: 06/18/2024] Open
Abstract
OBJECTIVE To investigate the perspectives of pediatric otolaryngologists on the impact of the coronavirus disease 2019 (COVID-19) pandemic on their research. METHODS Two surveys were sent to members of the American Society of Pediatric Otolaryngology (ASPO) in 2019 and 2021 to assess research perspectives before and during the COVID-19 pandemic. The surveys contained questions about research engagement, barriers, time allocation, and shifts in research focus. RESULTS The COVID-19 pandemic reshaped research within pediatric otolaryngology, with a mixed impact on the amount of time allocated to research endeavors. Almost half of respondents reported a change in research focus to COVID-19-related studies. Protected time and funding were significant pre-pandemic barriers, whereas reduced staff, collaboration opportunities, and enrollment limitations emerged as key pandemic-related obstacles. A personal commitment to research was most strongly correlated with time spent on this endeavor. During the pandemic, women were less likely to report an increase in research activity when compared to men, possibly due to a disproportionate burden of caregiving on women during school closures and stay-at-home orders. CONCLUSION Overall, the pandemic prompted both increases and decreases in research time allocation, depending on individual circumstances and priorities. Despite new challenges, pediatric otolaryngologists remain committed to research and have continued to remain productive.
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Affiliation(s)
- Peter Kfoury
- Department of Otolaryngology - Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, USA
| | - Jordan C Stout
- Department of Otolaryngology - Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, USA
| | | | - Wei Yang
- School of Public Health, University of Nevada, Reno, USA
| | - Nicole L Molin
- Department of Sleep Medicine, Thomas Jefferson University Hospital, Philadelphia, USA
| | - Matthew A Firpo
- Department of Surgery, University of Utah School of Medicine, Salt Lake City, USA
| | - Albert H Park
- Department of Otolaryngology - Head and Neck Surgery/Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, USA
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Kim JH, Yang CE, Kim SW, Kim J. Epidemiologic Changes of Facial Bone Fracture before and after Coronavirus Disease 2019: A Level 1 Trauma Center in Korea. Arch Plast Surg 2023; 50:37-41. [PMID: 36755643 PMCID: PMC9902098 DOI: 10.1055/a-1950-4420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 09/20/2022] [Indexed: 10/14/2022] Open
Abstract
Background The coronavirus disease 2019 (COVID-19) outbreak has had a major impact worldwide. Several countries have implemented restrictions on social interaction ("social distancing"). Several studies have reported that the epidemiology of trauma patients, such as those with facial bone fractures, has changed after COVID-19 pandemic. This study aimed to further explore these specific changes. Methods This was a retrospective study of patients who presented to a single institution with facial bone fractures between January 1, 2016, and December 31, 2020. Baseline patient demographics, clinical information, type of fracture, etiology, and operative management were compared before and after COVID-19. Results Of all cases, 3,409 occurred before COVID-19, and 602 occurred after COVID-19. Since the outbreak of COVID-19, the number of patients with facial fractures has not decreased significantly. A significant increase was noted in fractures that occurred outdoors ( p < 0.001). However, a decrease was observed in operative management between the groups ( p < 0.001). There was no significant difference in the proportion of assault, fall-down, industrial accident, or roll-down. In contrast, the proportion of traffic accidents and slip-down categories increased significantly ( p < 0.05). Moreover, a significant decrease was found in the proportion of the sports category ( p = 0.001) Conclusions It was confirmed through this study that COVID-19 pandemic also affected epidemiology of facial fractures. Focusing on these changes, it is necessary to develop safety measures to reduce facial fractures.
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Affiliation(s)
- Jeong Ho Kim
- Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University, Wonju-si, Gangwon-do, Republic of Korea
| | - Chae Eun Yang
- Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University, Wonju-si, Gangwon-do, Republic of Korea
| | - Sug Won Kim
- Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University, Wonju-si, Gangwon-do, Republic of Korea
| | - Jiye Kim
- Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University, Wonju-si, Gangwon-do, Republic of Korea,Address for correspondence Jiye Kim, MD, PhD Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University20, Ilsan-ro, Wonju-si, Gangwon-do 26384Republic of Korea
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Tewfik K, Peta C, De Giuli MC, Rossini M, Giampaoli G, Covelli C, Burlini D. Impact of Covid-19 pandemic on children with special needs requiring general anaesthesia for the treatment of dental disease: the experience of the Brescia Children's Hospital, Lombardy, Italy. Eur Arch Paediatr Dent 2023; 24:133-138. [PMID: 36434491 PMCID: PMC9702869 DOI: 10.1007/s40368-022-00770-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 11/17/2022] [Indexed: 11/27/2022]
Abstract
PURPOSE Special needs children presenting with dental problems were penalised during the Covid-19 pandemic due to the reduction of clinical activity and the risks of nosocomial infection. The aim of this study is to evaluate the impact of the pandemic on oral healthcare in paediatric special needs patients. METHODS We retrospectively assessed and compared the outpatient clinic activity and dental procedures performed under general anaesthesia in children with special needs at Brescia Children's Hospital (Italy) in 2019, 2020, and 2021. Any delay between expected waiting time based on assigned priority and surgery was recorded. The efficacy of the protocol adopted to reduce the spread of Covid-19 was evaluated by reporting any infections in patients, parents, and health care providers. RESULTS In 2020, 270 outpatient visits were performed, and 40 patients were treated under general anaesthesia, with a 26% and 65% reduction, respectively, compared to 2019. In 2021, 362 visits were performed (similar to 2019) and 48 patients were treated under general anaesthesia (58% compared to 2019). The mean delay in the planned treatment was 1.0 month in 2019 (pre-pandemic period), 2.1 months in 2020, and 1.1 month in 2021. No cases of Covid-19 infection were reported in the cohort of patients and parents or among the operators related to nosocomial infection. CONCLUSIONS The Covid-19 pandemic has profoundly reduced the activity of general anaesthesia in paediatric special need patients during 2020, with a gradual return to normal pre-pandemic activity in 2021. The adopted protocol prevented the spread of COVID-19 during hospitalisation.
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Affiliation(s)
- K Tewfik
- Pediatric Maxillo-Facial Surgery Unit, Children's Hospital, ASST Spedali Civili of Brescia, Brescia, Italy.
| | - C Peta
- Pediatric Maxillo-Facial Surgery Unit, Children's Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
| | - M C De Giuli
- Pediatric Maxillo-Facial Surgery Unit, Children's Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
| | - M Rossini
- Pediatric Maxillo-Facial Surgery Unit, Children's Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
| | - G Giampaoli
- Pediatric Maxillo-Facial Surgery Unit, Children's Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
| | - C Covelli
- Pathology Unit, ASST del Garda, Desenzano del Garda, Italy
| | - D Burlini
- Pediatric Maxillo-Facial Surgery Unit, Children's Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
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Alexandru M, Favier V, Coste A, Carsuzaa F, Fieux M, Fath L, Bartier S. Deterioration experienced by French otolaryngology residents in their training during the COVID-19 pandemic: A STROBE analysis. Eur Ann Otorhinolaryngol Head Neck Dis 2023; 140:13-18. [PMID: 35803874 PMCID: PMC9061179 DOI: 10.1016/j.anorl.2022.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE To evaluate the impact of the first three waves of COVID-19 on the academic and surgical training of ENT and Head and Neck Surgery residents in France. MATERIAL AND METHODS Observational, retrospective study. A 55-item survey of academic education and surgical training was sent to ENT residents in five major French regions (Île-de-France, Rhône-Alpes Auvergne, Occitanie, Grand Est, Grand Ouest) from August to October 2021. RESULTS Eighty-nine out of 135 residents (66%) responded. Two-thirds considered that surgical training was more affected than academic education, with reductions evaluated of 50-75%, 25-50% and 0-25% for the first three waves, respectively. Residents in Île-de-France, Rhône-Alpes Auvergne and Grand Est were the most affected by the first wave (75-100% reduction in surgical activity, in parallel to increased admissions). Otology, rhinology and functional exploration were the most affected, whereas pediatrics and oncology were spared. Seventy-one of the 89 residents (79.7%) felt that the first wave impacted their career, while this proportion decreased to 39.3% and 44.9% for the second and third waves, respectively. CONCLUSION The first wave of COVID-19, compared to the following two waves, severely impacted the surgical training of French ENT residents, especially in regions severely impacted by the pandemic, while academic education was relatively safeguarded by the implementation of e-learning alternatives.
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Affiliation(s)
- M. Alexandru
- Service d’ORL et chirurgie cervico-faciale, université Paris-Saclay, hôpital Bicêtre, AP–HP, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France,Corresponding author
| | - V. Favier
- Département d’ORL et chirurgie cervico-faciale, CHU de Montpellier, hôpital Gui-de-Chauliac, 34295 Montpellier, France
| | - A. Coste
- Service d’ORL et de chirurgie cervico-faciale, centre hospitalier intercommunal de Créteil, 40, avenue de Verdun, 94000 Créteil, France,Service d’ORL et de chirurgie cervico-faciale, CHU d’Henri-Mondor, 8, rue Gustave-Eiffel, 94000 Créteil, France,Inserm, IMRB, université Paris Est Créteil, 94010 Créteil, France,CNRS ERL 7000, 94010 Créteil, France
| | - F. Carsuzaa
- Service d’ORL et chirurgie cervico-faciale, CHU de Poitiers, 86000 Poitiers, France
| | - M. Fieux
- Inserm, IMRB, université Paris Est Créteil, 94010 Créteil, France,CNRS ERL 7000, 94010 Créteil, France,Service d’ORL, d’otoneurochirurgie et de chirurgie cervico-faciale, centre hospitalier Lyon Sud, hospices civils de Lyon, 69495 Pierre-Bénite cedex, France,Université de Lyon, université Lyon 1, 69003 Lyon, France
| | - L. Fath
- Service d’ORL et de chirurgie cervico-faciale, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France,Unité Inserm 1121, biomatériaux et bioingénierie, 1, rue Eugène-Boeckel, 67000 Strasbourg, France
| | - S. Bartier
- Service d’ORL et de chirurgie cervico-faciale, centre hospitalier intercommunal de Créteil, 40, avenue de Verdun, 94000 Créteil, France,Service d’ORL et de chirurgie cervico-faciale, CHU d’Henri-Mondor, 8, rue Gustave-Eiffel, 94000 Créteil, France,Inserm, IMRB, université Paris Est Créteil, 94010 Créteil, France,CNRS ERL 7000, 94010 Créteil, France
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5
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Samieirad S, Bagheri Shirvan S, Grillo R, Shooshtari Z, Hosseini Abrishami M, Eshghpour M, Molaei M, Manafi A. The Effect of Covid-19-Related Social Distancing Restrictions on Maxillofacial Fractures Epidemiology. World J Plast Surg 2023; 12:73-82. [PMID: 38226200 PMCID: PMC10788111 DOI: 10.61186/wjps.12.3.73] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Accepted: 10/11/2023] [Indexed: 01/17/2024] Open
Abstract
Background The purpose of the present study was to evaluate the changes in maxillofacial fracture epidemiology and etiology regarding Covid-19-related social distancing restrictions in an Iranian population. Methods A retrospective cross-sectional study was undertaken in six major trauma center hospitals in Iran in a period of two years (March 2018 until March 2020). The primary outcome variable was the maxillofacial fractures incidence. Patients' demographic data, date of injury as well as fracture characteristics, fracture etiology, type, and site were all recorded, compared, and analyzed in the control and experimental groups. Results The patients consisted of 520 (83.6%) males and 102 (16.4%) females. Patients sustaining maxillofacial fractures over this two-year period displayed a mean age of 31.24±14.44, with an age range of 2 to 88 years. The incidence of maxillofacial fractures significantly decreased in all age groups (p<0.001). After social distancing restrictions were placed; there was a significant drop in the number of subjects attending due to motorcycle collisions and road traffic accidents, whereas the number of fractures caused by assaults and domestic violence significantly increased (p<0.001 for each). Conclusion The investigators realized that social distancing restrictions were able to change the trends and patterns in maxillofacial fracture incidence and etiology.
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Affiliation(s)
- Sahand Samieirad
- Department of Oral & Maxillofacial Surgery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Siavash Bagheri Shirvan
- Dental Research Center, Mashhad Dental School, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Ricardo Grillo
- Department of Oral & Maxillofacial Surgery, Traumatology and Prosthesis, University of São Paulo, São Paulo, Brazil
| | - Zahra Shooshtari
- Faculty of Dentistry, Mashhad Dental School, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Majid Hosseini Abrishami
- Department of Oral & Maxillofacial Surgery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Majid Eshghpour
- Department of Oral & Maxillofacial Surgery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Melika Molaei
- Dental Research Center, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ali Manafi
- Department of Plastic Surgery, Tehran University of Medical Sciences, Tehran, Iran
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Lemma F, Parrino D, Bissolotti G, Emanuelli E, DI Carlo R, Fusetti S. Impact of the SARS-CoV-2 pandemic on the diagnostic delay of oral carcinoma: a retrospective analysis. Minerva Dent Oral Sci 2022; 71:308-317. [PMID: 36760200 DOI: 10.23736/s2724-6329.22.04645-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
BACKGROUND The aim of the present study was to investigate how the organisation of healthcare activity during the first wave of the SARS-CoV-2 pandemic affected the timing of diagnosis of oral carcinoma in the Functional Head and Neck Department of Padua (Italy). This study gives an effective temporal dimension of the diagnostic delay that occurred during the pandemic, compared with data from the literature. METHODS A retrospective analysis of the diagnostic path of a patient affected by oral cancer during COVID-19 pandemic was performed. The time elapsed from the patient's awareness of the problem to the first curative surgical intervention was considered both during the blockage of elective care activities and in the period immediately following. The results were compared to a group of patients treated in the same period of the year 2019. RESULTS The territorial time was 53.9% longer in the post-lockdown period than in the lockdown period (39.6 days) while the hospital time was 56.6% shorter than in the post-lockdown period (56 days). CONCLUSIONS The response time of territorial medicine has been longer during the pandemic peak. The unintentional creation of exclusive pathways for oncological patients speeded up the diagnostic process. The organization and accessibility of operating theatres can become particularly problematic during the acute phases of a pandemic.
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Affiliation(s)
- Francesco Lemma
- Department of Maxillofacial Surgery, University of Padua, Padua, Italy - .,Section of Otolaryngology, Department of Neuroscience (DNS), University of Padua, Padua, Italy -
| | - Daniela Parrino
- Department of Maxillofacial Surgery, University of Padua, Padua, Italy.,Section of Otolaryngology, Department of Neuroscience (DNS), University of Padua, Padua, Italy
| | - Guido Bissolotti
- Department of Maxillofacial Surgery, University of Padua, Padua, Italy.,Section of Otolaryngology, Department of Neuroscience (DNS), University of Padua, Padua, Italy
| | - Enzo Emanuelli
- Department of Maxillofacial Surgery, University of Padua, Padua, Italy.,Section of Otolaryngology, Department of Neuroscience (DNS), University of Padua, Padua, Italy
| | - Roberto DI Carlo
- Department of Maxillofacial Surgery, University of Padua, Padua, Italy.,Section of Otolaryngology, Department of Neuroscience (DNS), University of Padua, Padua, Italy
| | - Stefano Fusetti
- Department of Maxillofacial Surgery, University of Padua, Padua, Italy.,Section of Otolaryngology, Department of Neuroscience (DNS), University of Padua, Padua, Italy
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Ferragina F, Barca I, Sorrentino A, Kallaverja E, Piloni S, Arrotta A, Cristofaro MG. Effect of COVID-19 Italian Lockdown on Maxillofacial Trauma Related to Domestic Violence: A Retrospective Cohort Study. Life (Basel) 2022; 12:life12101463. [PMID: 36294899 PMCID: PMC9604664 DOI: 10.3390/life12101463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 09/13/2022] [Accepted: 09/16/2022] [Indexed: 11/16/2022] Open
Abstract
Background: This retrospective study aims to identify the potential reasons for the increase in maxillofacial trauma from domestic violence in the first COVID-19 lockdown and propose some strategies that could be effective in fighting it during any future pandemic events. Materials and Methods: The study was conducted on patients with maxillofacial trauma who arrived at the Maxillofacial Unit of the Magna Graecia University of Catanzaro from 9 March to 3 May 2020, who were compared with those registered in the same period in 2019. Inclusion criteria were: patients of both sexes and admission diagnosed with maxillofacial trauma with or without bone fracture. Exclusion criteria were: patients less than 7 years of age, maxillofacial trauma that occurred outside the established period, and patients unconscious or with unclear clinical history. Patients were divided into two groups according to the mechanism of injury (MOI): “domestic” and “non-domestic” trauma. Both descriptive and regressive statistical analysis was conducted using a Student’s t-test with a significance level set at p < 0.05. Results: The total number of maxillofacial fractures in 2020 was similar to 2019 (31 pcs in 2020 vs. 38 pcs in 2019). Before the lockdown, most of the trauma occurred in non-domestic settings (25% in 2020 vs. 76.67% in 2019), especially in road accidents (4.17% in 2020 vs. 20% in 2019). During the lockdown, most of the trauma occurred in a domestic setting (75% in 2020 vs. 23.33% in 2019), especially interpersonal violence (31.58% in 2020 vs. 14.28% in 2019). There were 7 cases of interpersonal violence recorded in 2020 (1 male and 6 female), compared to only one case (female) recorded in 2019, with a statistically significant p-Value (0.0475). Conclusions: The first COVID-19 lockdown has provided the opportunity to study the aetiology of domestic trauma due to interpersonal violence attributable to economic and social problems, all of which were aggravated by the impediment to requesting help due to the difficulty of contacting the services and the general slowdown in the ways out of violence. The analysis conducted and compared with data in the literature suggests the adoption of a proactive (and non-reactive) approach to combat domestic violence during pandemic events.
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Affiliation(s)
- Francesco Ferragina
- Unit of Maxillofacial Surgery, Department of Experimental and Clinical Medicine, “Magna Graecia” University, Viale Europa, 88100 Catanzaro, Italy
- Correspondence: ; Tel.: +39-0961-3647271; Fax: +39-0961-3647229
| | - Ida Barca
- Unit of Maxillofacial Surgery, Department of Experimental and Clinical Medicine, “Magna Graecia” University, Viale Europa, 88100 Catanzaro, Italy
| | - Alfonso Sorrentino
- Unit of Maxillofacial Surgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Hospital of Naples “Federico II”, 80131 Naples, Italy
| | - Elvis Kallaverja
- Unit of Maxillofacial Surgery, Department of Experimental and Clinical Medicine, “Magna Graecia” University, Viale Europa, 88100 Catanzaro, Italy
| | - Sara Piloni
- Unit of Maxillofacial Surgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Hospital of Naples “Federico II”, 80131 Naples, Italy
| | | | - Maria Giulia Cristofaro
- Unit of Maxillofacial Surgery, Department of Experimental and Clinical Medicine, “Magna Graecia” University, Viale Europa, 88100 Catanzaro, Italy
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Maxillofacial Fractures in the Province of Terni (Umbria, Italy) in the Last 11 Years: Impact of COVID-19 Pandemic. J Craniofac Surg 2022; 33:e853-e858. [PMID: 35882250 PMCID: PMC9612422 DOI: 10.1097/scs.0000000000008786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Accepted: 04/12/2022] [Indexed: 11/25/2022] Open
Abstract
The main purpose of this retrospective study is to analyze the main causes and the main anatomical structures involved in maxillofacial traumas in the province of Terni, Umbria. From January 2009 to July 2021, 603 patients were admitted with a maxillofacial trauma diagnosis and underwent surgery at “Santa Maria Hospital” in Terni, Italy. The collected data included sex, age, nationality, cause of trauma, type of fractures, comorbidities, clinical signs, symptoms, date of admission, and date of discharge from the hospital. Causes were divided into 5 categories: road traffic accidents, accidental falls, physical assault, sport accidents, and occupational injuries. Men were more involved than women, with a male:female ratio of 325:1. The mean age of the population was 41.7 years. The main cause of trauma were road traffic accidents (36%), followed by accidental falls (27%), an increasing phenomenon during the current SARS-CoV-2 global pandemic. The orbital floor was the most fractured anatomical site, followed by zygoma and nasal bones.
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Vasan PK, Shinde O, Banga KS, Basha S, Karobari MI, Basheer SN, Mirza MB, Pawar AM. COVID-19 Contraction Among Dental Healthcare Workers in the Department of Conservative Dentistry and Endodontics - A Retrospective Analysis During the Pandemic. Healthc Policy 2022; 15:1243-1252. [PMID: 35769498 PMCID: PMC9234192 DOI: 10.2147/rmhp.s368076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 06/04/2022] [Indexed: 12/01/2022] Open
Abstract
Introduction The COVID-19 pandemic has led to major challenges for the healthcare sector across the globe including dental healthcare workers (DHCWs) due to the increased risk of transmission of virus during aerosol-generating procedures. We conducted the present retrospective analysis determining the risk of contraction of COVID-19 infection among DHCWs since the outbreak of the pandemic for a year (March 2020 through March 2021) in Mumbai. Methods In total, 18,058 patients visited the Nair Hospital Dental College for dental treatment related to the Department of Conservative Dentistry and Endodontics during the assessed year. All the patients were subjected to intensive triage, which included recording their body temperature, oxygen saturation level, travel, and COVID-19 exposure history. Results A total of 26 DHCWs were responsible for attending and treating the patients with all the standard infection control measures. Seventy-four (0.40%) patients out of 18058 were referred for a nasal rapid antigen test (RAT) on giving a positive affirmation about COVID-19 like symptoms when screened at the triage. Of those 74 patients referred, 20 reported a positive nasal rapid antigen test and the infection was confirmed by Reverse Transcriptase Polymerase Chain Reaction (RT-PCR). Among 26, 9 (34,7%) DCHWs were found to have contracted the infection during the assessed year. Conclusion The analysis found that the risk of COVID-19 infection contraction amongst the DHCWs is considerably less. This could be attributed to the intensive triage and the preventive measures taken while rendering treatment.
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Affiliation(s)
- Purveet Kaur Vasan
- Department of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai, Maharashtra, 400008, India
| | - Omkar Shinde
- Department of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai, Maharashtra, 400008, India
| | - Kulvinder Singh Banga
- Department of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai, Maharashtra, 400008, India
| | - Sakeenabi Basha
- Department of Community Dentistry, Faculty of Dentistry, Taif University, Taif, 21944, Saudi Arabia
| | - Mohmed Isaqali Karobari
- Department of Restorative Dentistry & Endodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh, 12211, Cambodia.,Conservative Dentistry & Endodontics, Saveetha Dental College & Hospitals, Saveetha Institute of Medical and Technical Sciences University, Chennai, Tamil Nadu, 600077, India
| | - Syed Nahid Basheer
- Department of Restorative Dental Sciences, College of Dentistry, Jazan University, Jazan, 45142, Kingdom of Saudi Arabia
| | - Mubashir Baig Mirza
- Conservative Dental Science Department, College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, 11942, Kingdom of Saudi Arabia
| | - Ajinkya M Pawar
- Department of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai, Maharashtra, 400008, India
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Impact of COVID19 on Maxillofacial Fractures in the Province of L’Aquila, Abruzzo, Italy. Review of 296 Patients Treated With Statistical Comparison of the Two-Year Pre-COVID19 and COVID19. J Craniofac Surg 2022; 33:1182-1184. [PMID: 36041111 PMCID: PMC9232240 DOI: 10.1097/scs.0000000000008468] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
The aim of this study was to understand the impact of the COVID-19 pandemic on the epidemiology of maxillofacial trauma in a regional trauma center in L’Aquila, Abruzzo, Italy, during the first wave of the pandemic and comparted it to an equivalent period from 2015 to 2018. The authorshave retrospectively analyzed personal data, site of trauma, etiology, and mechanism of injury. Statistical analysis has been carried out utilizing IBM SPSS Statistics software (IBM Corp., Armonk, NY) and significance was accepted for P values of <0.05. From January 2015 to December 2020, a total of 296 were analyzed. In Pre-COVID era, 195 patients were evaluated, 130 males (66.6%) and 65 females (33.4%). Zygomatic-malar complex fractures were the most common site of trauma in both genders (53%), followed by mandibular fractures (23%) and orbital ones (15%). The highest incidences of injuries were recorded between 15 and 34 years (21%) with the most common etiology attributed to road accidents traumas (49%). In COVID19 era, the authors recorded 101 traumas, 58 males (57.4%), 43 females (42.6%). Zygomatic-malar complex fractures were confirmed as the most common ones in both genders (41%). The most common etiology was related to casual domestic accident and assaults (37% and 30%, respectively). There was no statistically significant difference in terms of incidence in the comparison of Pre-COVID19 and COVID19 periods (P > 0.05) as opposed to the etiology in which the road traffic accidents decreased in favor of domestic accidents and interpersonal assaults (P < 0.05). Our scientific study represents the first epidemiologic study related to the impact of COVID-19 on maxillo-facial trauma in the Province of L’Aquila, Abruzzo, Italy. A decrease in the number of Maxillofacial injuries related to road traffic accidents can be demonstrated as the benefit of lockdown, however, a significant increase in the number of physical assaults shows how isolation and restrictions have had a highly negative psychological impact on society.
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Temporomandibular Disorders and Bruxism in Patients Attending a Tinnitus Clinic. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12104970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The current study investigated the coexistence of temporomandibular disorder (TMD) and/or bruxism among 51 individuals seeking treatment in a tinnitus clinic. All participants completed a Hebrew version of the Tinnitus Handicap Inventory (THI), depression and anxiety questionnaires, and the diagnostic criteria TMD (DC/TMD) questionnaire. In addition to questionnaires, the participants underwent a clinical evaluation of the oral cavity, facial muscles, and the temporomandibular joint (TMJ). Thirty-four participants (66.7%) were diagnosed with bruxism, while TMD was found in 14 (27.5%) of the cases. Patients with both tinnitus, TMD and bruxism scored the highest in the anxiety questionnaire. The severity of depression was found to be significantly associated with the tinnitus severity. These results emphasize the clinical bond between tinnitus, TMD, and bruxism.
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12
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Giovanditto F, Soma D, Vaira LA, Pispero A, Lombardi N, Ristoldo F, Mariani U, Pizzi S, Isola A, Smania P, Albanese M, D'Agostino A, Appendino P, Scatà E, Raho MT, Gobbi R, Carta E, Massarelli O, Lumbau A, Spano G, De Riu G. Recommendations for a safe restart of elective aerosol-generating oral surgery procedures following the COVID-19 pandemic outbreak: An Italian multicenter study. J Craniomaxillofac Surg 2022; 50:462-467. [PMID: 35430134 PMCID: PMC8889877 DOI: 10.1016/j.jcms.2022.02.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Revised: 01/27/2022] [Accepted: 02/12/2022] [Indexed: 01/26/2023] Open
Abstract
Among healthcare workers, oral and maxillofacial surgeons are some of the most exposed to coronavirus disease (COVID-19). The aim of this retrospective study was to develop suggestions for continuing the work of oral and maxillofacial surgeons using a safe protocol for elective and urgent aerosol-generating procedures that could prevent the onset of new clusters. Based on the results obtained and a guidelines review of those Asian countries that had promptly managed the current pandemic, the following safety protocol was developed:
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Affiliation(s)
- Federica Giovanditto
- Department of Maxillofacial Surgery, Azienda Ospedaliero-Universitaria, Sassari, Italy.
| | - Damiano Soma
- Department of Maxillofacial Surgery, Azienda Ospedaliero-Universitaria, Sassari, Italy
| | - Luigi Angelo Vaira
- Department of Maxillofacial Surgery, Azienda Ospedaliero-Universitaria, Sassari, Italy
| | - Alberto Pispero
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - Niccolò Lombardi
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | | | - Umberto Mariani
- Department of Dentistry, ASST Papa Giovanni XXIII, Bergamo, Italy
| | - Silvia Pizzi
- Department of Dentistry, Azienda Ospedaliero-Universitaria, Parma, Italy
| | - Antonio Isola
- Department of Dentistry, Cittadella Hospital, Padua, Italy
| | | | - Massimo Albanese
- Department of Maxillofacial Surgery and Dentistry, Azienda Ospedaliero-Universitaria Integrata, Verona, Italy
| | - Antonio D'Agostino
- Department of Maxillofacial Surgery and Dentistry, Azienda Ospedaliero-Universitaria Integrata, Verona, Italy
| | - Paolo Appendino
- Department of Dentistry and Oral Surgery, Mauriziano Umberto I Hospital, Corso Turati 62, 10128, Turin, Italy
| | - Ernesto Scatà
- Department of Dentistry and Oral Surgery, Mauriziano Umberto I Hospital, Corso Turati 62, 10128, Turin, Italy
| | - Maria Teresa Raho
- Department of Maxillofacial Surgery, Azienda Ospedaliero-Universitaria, Sassari, Italy
| | - Roberta Gobbi
- Department of Dentistry, AUSL Della Romagna, Ravenna, Italy
| | - Elena Carta
- Department of Maxillofacial Surgery, Azienda Ospedaliero-Universitaria, Sassari, Italy
| | - Olindo Massarelli
- Department of Maxillofacial Surgery, Azienda Ospedaliero-Universitaria, Sassari, Italy
| | - Aurea Lumbau
- Department of Dentistry, Azienda Ospedaliero-Universitaria, Sassari, Italy
| | - Giovanni Spano
- Department of Dentistry, Azienda Ospedaliero-Universitaria, Sassari, Italy
| | - Giacomo De Riu
- Department of Maxillofacial Surgery, Azienda Ospedaliero-Universitaria, Sassari, Italy
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13
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Lugli G, Ottaviani MM, Botta A, Ascione G, Bruschi A, Cagnazzo F, Zammarchi L, Romagnani P, Portaluri T. The Impact of the SARS-CoV-2 Pandemic on Healthcare Provision in Italy to non-COVID Patients: a Systematic Review. Mediterr J Hematol Infect Dis 2022; 14:e2022012. [PMID: 35070219 PMCID: PMC8746940 DOI: 10.4084/mjhid.2022.012] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 12/16/2021] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND Italy has been one of the countries most affected by the SARS-CoV-2 pandemic, and the regional healthcare system has had to quickly adapt its organization to meet the needs of infected patients. This has led to a drastic change in the routine management of non-communicable diseases with a potential long-term impact on patient health care. Therefore, we investigated the management of non-COVID-19 patients across all medical specialities in Italy. METHODS A PRISMA guideline-based systematic review of the literature was performed using PubMed, Embase, and Scopus, restricting the search to the main outbreak period in Italy (from February 20 to June 25 2020). We selected articles in English or Italian that detailed changes in the Italian hospital care for non-COVID-19 patients due to the pandemic. Our keywords included all medical specialities combined with our geographical focus (Italy) and COVID-19. RESULTS Of the 4643 potentially eligible studies identified by the search, 247 were included. A decrease in the management of emergencies in non-COVID patients was found together with an increase in mortality. Similarly, non-deferrable conditions met a tendency toward decreased diagnosis. All specialities have been affected by the re-organization of healthcare provision in the hub-and-spoke system and have benefited from telemedicine. CONCLUSIONS Our work highlights the changes in the Italian public healthcare system to tackle the developing health crisis due to the COVID-19 pandemic. The findings of our review may be useful to analyse future directions for the healthcare system in the case of new pandemic scenarios.
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Affiliation(s)
- Gianmarco Lugli
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
- CEST Centre for Excellence and Transdisciplinary Studies, Turin, Italy
| | - Matteo Maria Ottaviani
- Department of Neurosurgery, University Politecnica delle Marche, Ancona, Italy
- CEST Centre for Excellence and Transdisciplinary Studies, Turin, Italy
| | - Annarita Botta
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
- CEST Centre for Excellence and Transdisciplinary Studies, Turin, Italy
| | - Guido Ascione
- Department of Cardiac Surgery, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy
- CEST Centre for Excellence and Transdisciplinary Studies, Turin, Italy
| | - Alessandro Bruschi
- Rizzoli Orthopaedic Institute, University of Bologna, Bologna, Italy
- CEST Centre for Excellence and Transdisciplinary Studies, Turin, Italy
| | - Federico Cagnazzo
- Department of Neuroradiology, Hôpital Gui de Chauliac, Montpellier University Medical Center, 80, Avenue Augustin Fliche, Montpellier, France
| | - Lorenzo Zammarchi
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
- Unit of Infectious and Tropical Disease, University Hospital Careggi, Florence, Italy
| | - Paola Romagnani
- Nephrology and Dialysis Unit, Department of Pediatrics, Meyer Children’s University Hospital, Florence, Italy
- Department of Biomedical Experimental and Clinical Sciences “Mario Serio,” University of Florence, Florence, Italy
| | - Tommaso Portaluri
- IN Srl, Udine, Italy
- CEST Centre for Excellence and Transdisciplinary Studies, Turin, Italy
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14
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Tondo G, Aprile D, Tesser F, Comi C. Increased Prevalence of Neuropsychiatric Disorders during COVID-19 Pandemic in People Needing a Non-Deferrable Neurological Evaluation. J Clin Med 2021; 10:jcm10215169. [PMID: 34768689 PMCID: PMC8585111 DOI: 10.3390/jcm10215169] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Revised: 10/21/2021] [Accepted: 11/02/2021] [Indexed: 12/21/2022] Open
Abstract
Background: The novel coronavirus disease of 2019 (COVID-19) outbreak provoked a profound healthcare system reorganization. This study aimed to compare the reasons for requesting a non-deferrable neurological evaluation before the COVID-19 pandemic and during the lockdown. Methods: Retrospective observational study including non-deferrable neurological outpatients before the pandemic (pre-COVID-19 group, n = 223) and during the Italian second wave of the COVID-19 pandemic (LOCKDOWN group, n = 318). Results: The number of patients sent for cerebrovascular disorders, headache, and vertigo significantly dropped between the pre-COVID-19 era and the lockdown period. While in the pre-COVID-19 group, the most frequent diagnosis was cerebrovascular disorder; neuropsychiatric disorders ranked first in the LOCKDOWN group. Moreover, the percentage of appropriate non-deferrable neurological evaluations significantly increased in the LOCKDOWN group compared with the pre-COVID-19 group. Discussion: Our study shows a significant increase of neuropsychiatric disorders in non-deferrable neurologic evaluations during the Italian second wave of the COVID-19. Overall, cases were more severe and required a more complex management during the lockdown compared with the pre-COVID era. These findings confirm that a careful approach to prevent the psychological consequences of the pandemic is needed, and long-term rearrangements of the healthcare system are desirable to guarantee appropriate management.
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Affiliation(s)
- Giacomo Tondo
- Neurology Unit, S. Andrea Hospital, Department of Translational Medicine, University of Piemonte Orientale, Corso Abbiate 21, 13100 Vercelli, Italy; (G.T.); (F.T.)
- School of Psychology, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Davide Aprile
- Department of Translational Medicine, University of Piemonte Orientale, 28100 Novara, Italy;
| | - Fabiana Tesser
- Neurology Unit, S. Andrea Hospital, Department of Translational Medicine, University of Piemonte Orientale, Corso Abbiate 21, 13100 Vercelli, Italy; (G.T.); (F.T.)
| | - Cristoforo Comi
- Neurology Unit, S. Andrea Hospital, Department of Translational Medicine, University of Piemonte Orientale, Corso Abbiate 21, 13100 Vercelli, Italy; (G.T.); (F.T.)
- Department of Translational Medicine, University of Piemonte Orientale, 28100 Novara, Italy;
- Interdisciplinary Research Center of Autoimmune Diseases (IRCAD), University of Piemonte Orientale, 28100 Novara, Italy
- Correspondence:
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15
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Visholm TM, Sandhu N, Dhariwal DK. COVID-19: The Oral and Maxillofacial Surgery Experience, Oxford, UK. Craniomaxillofac Trauma Reconstr 2021; 14:317-324. [PMID: 34707792 DOI: 10.1177/1943387521991267] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Study Design In response to the COVID-19 pandemic the Oxford Oral and Maxillofacial Surgery Department, that operates as a Hub and Spoke model underwent several changes to its structure to respond to the change in service. This study is an audit of all emergency patients seen during a 10-week period and compared these patients to the same time period 1-year previous. Objective The objective was to observe the change in the service provision during the COVID-19 pandemic. Methods This study prospectively recorded all the emergency referrals, inpatient admissions and emergency outpatient reviews during a 10-week period, this was compared to data from the same time period in 2019. Results The unit saw a statistically significant decrease in the number of facial lacerations (p = 0.0007) and fractured mandibles (p = 0.0067) and received a statistically significant increase in patients presenting with dental abscesses (p = 0.0067). Average length of inpatient stay was reduced from 2.4 days to 1.7; of these patients significantly less were reviewed face to face (p = 0.026) in favor of telemedicine options. Conclusions During this period, the hub and spoke model allowed the service to quickly adapt during the COVID pandemic aiding the dissemination of new guidelines and establishing hub and spoke local consultant led daily emergency and follow up clinics. The Specialist Training Registrars were located in the central hub which allowed the service to have 24-hour resident senior decision makers and enabled the redeployment of junior doctors. The authors believe that the Hub and Spoke model allowed their workforce and resources to best serve their patient population.
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Affiliation(s)
- Toby M Visholm
- Department of Oral and Maxillofacial Surgery, John Radcliffe Hospital, Headley Way, Headington, Oxford, UK
| | - Neha Sandhu
- Department of Oral and Maxillofacial Surgery, John Radcliffe Hospital, Headley Way, Headington, Oxford, UK
| | - Daljit K Dhariwal
- Department of Oral and Maxillofacial Surgery, John Radcliffe Hospital, Headley Way, Headington, Oxford, UK
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16
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Pagotto LEC, Santos TDS, Pastore GP. Impact of COVID-19 on maxillofacial surgery practice: a systematic review. Braz J Otorhinolaryngol 2021; 88:990-998. [PMID: 34799266 PMCID: PMC8536520 DOI: 10.1016/j.bjorl.2021.09.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 09/05/2021] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVES The aim of this systematic review was to evaluate the possible impacts of COVID-19 on oral and maxillofacial surgery practice, as well as the protocols employed by oral and maxillofacial surgeons to minimize the risks of contamination. METHODS Searches were performed in different databases up to 15 March 2021. Articles related to oral surgery dynamics within the context of the COVID-19 pandemic were included. The articles were considered eligible if they met the following inclusion criteria: observational studies that provided recommendations regarding maxillofacial surgery measures during the COVID-19 pandemic and that analyzed the risk of contamination of patients/professionals with SARS-CoV-2. RESULTS Seven studies met the inclusion criteria and were selected for the present systematic review. Demands for personal protective equipment increased significantly, with studies reporting the scarcity of fundamental equipment such as FFP2/N95 masks. Significant changes in the infrastructure of outpatient, surgical and inpatient units and in the care protocols themselves were observed. CONCLUSION The COVID-19 pandemic particularly affected the routine of oral and maxillofacial surgery residents. Several additional recommendations for surgical practice or for the surgical team were evaluated and discussed, such as performing primarily urgent and emergency surgeries, remote patient care and screening, postponing elective surgeries, and new teaching methods in oral and maxillofacial surgery residency programs. In addition, screening of patients and of the surgery team for COVID-19 is strongly recommended.
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Affiliation(s)
| | | | - Gabriel Pires Pastore
- Sírio Libanês Hospital, Instituto de Educação e Pesquisa (IEP), Programa de Pós-Graduação em Ciências da Saúde, São Paulo, SP, Brazil
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17
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Koç Y, Akyüz S, Akşit-Bıçak D. Clinical Experience, Knowledge, Attitudes and Practice of Turkish Pediatric Dentists during the COVID-19 Pandemic. MEDICINA (KAUNAS, LITHUANIA) 2021; 57:medicina57111140. [PMID: 34833358 PMCID: PMC8618506 DOI: 10.3390/medicina57111140] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 10/05/2021] [Accepted: 10/15/2021] [Indexed: 12/23/2022]
Abstract
Background and Objectives: “Coronavirus Disease 2019” (COVID-19) is a critical public health problem that has affected all fields, including dentistry. The dental management of children has become even more difficult during the COVID-19 pandemic. The purpose of this study was to evaluate the current knowledge, attitudes and practices of Turkish pediatric dentists who have been providing dental treatments to children during the COVID-19 pandemic. Materials and Methods: After receiving ethical approval, this cross-sectional study was conducted using the Google Forms online survey instrument. An online questionnaire link was sent to all the members of the Turkish Society of Paediatric Dentistry by e-mail and through social media. Statistical analyses were performed using descriptive statistics and Chi-square test; a p-value less than 0.05 was considered statistically significant. Results: A total of 200 pediatric dentists participated in this study and most of them (82%) only performed emergency dental treatments, whereas 18.5% performed both emergency and routine dental practices during the COVID-19 pandemic. The vast majority (72.5%) of pediatric dentists prescribed antibiotics and analgesics to their patients who were not cooperative with non-pharmacological behavior management techniques. The findings of the current study showed that the Turkish pediatric dentists had a good level of knowledge about COVID-19, satisfactorily conducted most of the infection control measures before and after the dental treatments, and attached importance to the use of PPEs; however, infection control measures during the dental treatments could be implemented better. Conclusions: Along with all precautions, the vaccination of healthcare workers and requesting a recent test result from patients showing a lack of COVID-19 disease before dental appointments could be used as effective infection control measures. Additionally, pediatric dentists should continue to follow local and universal guidelines, and education programmes should be frequently implemented in order to keep their COVID-19 management strategies up to date.
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Affiliation(s)
- Yelda Koç
- Department of Pediatric Dentistry, Faculty of Dentistry, Near East University, Nicosia/TRNC, Mersin 10 99138, Turkey;
| | - Serap Akyüz
- Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, İstanbul 34854, Turkey;
| | - Damla Akşit-Bıçak
- Department of Pediatric Dentistry, Faculty of Dentistry, Near East University, Nicosia/TRNC, Mersin 10 99138, Turkey;
- Correspondence:
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18
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Chillakuru YR, Gerhard EF, Shim T, Selesnick SH, Lustig LR, Krouse JH, Hanna EY, Smith TL, Fisher EW, Kerschner JE, Monfared A. Impact of COVID-19 on Otolaryngology Literature. Laryngoscope 2021; 132:1364-1373. [PMID: 34622965 PMCID: PMC8662213 DOI: 10.1002/lary.29902] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 10/01/2021] [Indexed: 01/03/2023]
Abstract
Objectives/Hypothesis To understand the effect of the COVID‐19 pandemic on the volume, quality, and impact of otolaryngology publications. Study Design Retrospective analysis. Methods Fifteen of the top peer‐reviewed otolaryngology journals were queried on PubMed for COVID and non‐COVID‐related articles from April 1, 2020 to March 31, 2021 (pandemic period) and pre‐COVID articles from the year prior. Information on total number of submissions and rate of acceptance were collected from seven top‐ranked journals. Results Our PubMed query returned 759 COVID articles, 4,885 non‐COVID articles, and 4,200 pre‐COVID articles, corresponding to a 34% increase in otolaryngology publications during the pandemic period. Meta‐analysis/reviews and miscellaneous publication types made up a larger portion of COVID publications than that of non‐COVID and pre‐COVID publications. Compared to pre‐COVID articles, citations per article 120 days after publication and Altmetric Attention Score were higher in both COVID articles (citations/article: 2.75 ± 0.45, P < .001; Altmetric Attention Score: 2.05 ± 0.60, P = .001) and non‐COVID articles (citations/article: 0.03 ± 0.01, P = .002; Altmetric Attention Score: 0.67 ± 0.28, P = .016). COVID manuscripts were associated with a 1.65 times higher acceptance rate compared to non‐COVID articles (P < .001). Conclusions COVID‐19 was associated with an increase in volume, citations, and attention for both COVID and non‐COVID articles compared to pre‐COVID articles. However, COVID articles were associated with lower evidence levels than non‐COVID and pre‐COVID articles. Level of Evidence 3 Laryngoscope, 132:1364–1373, 2022
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Affiliation(s)
- Yeshwant R Chillakuru
- Division of Otolaryngology - Head and Neck Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, U.S.A
| | - Eleanor F Gerhard
- Division of Otolaryngology - Head and Neck Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, U.S.A
| | - Timothy Shim
- Division of Otolaryngology - Head and Neck Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, U.S.A
| | - Samuel H Selesnick
- Department of Otolaryngology - Head and Neck Surgery, Weill Cornell Medical College, New York, New York, U.S.A
| | - Lawrence R Lustig
- Department of Otolaryngology - Head and Neck Surgery, Columbia University College of Physicians and Surgeons, New York, New York, U.S.A
| | - John H Krouse
- School of Medicine, University of Texas Rio Grande Valley, Edinburg, Texas, U.S.A
| | - Ehab Y Hanna
- Department of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas, U.S.A
| | - Timothy L Smith
- Department of Otolaryngology - Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon, U.S.A
| | - Edward W Fisher
- Birmingham Heartlands Hospital, Birmingham, United Kingdom.,Good Hope Hospital, Sutton Coldfield, United Kingdom
| | - Joseph E Kerschner
- Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin, U.S.A
| | - Ashkan Monfared
- Division of Otolaryngology - Head and Neck Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, U.S.A
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Bergo BR, Marques NCT, Oliveira EA, Mirando‐Filho AEF, Martelli‐Júnior H, Marques NP. Impact of the COVID-19 pandemic on dental surgery procedures performed by maxillofacial surgeons in Brazil. ORAL SURGERY 2021; 15:ORS12668. [PMID: 34909053 PMCID: PMC8661634 DOI: 10.1111/ors.12668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 09/22/2021] [Indexed: 11/28/2022]
Affiliation(s)
| | | | - Eduardo Araújo Oliveira
- Department of PediatricsFaculty of MedicineFederal University of Minas Gerais (UFMG)Belo HorizonteMinas GeraisBrazil
| | | | - Hercílio Martelli‐Júnior
- Dental SchoolJosé do Rosário Vellano UniversityUNIFENASAlfenasMinas GeraisBrazil
- Primary Care Postgraduate ProgramState University of Montes Claros UnimontesMontes ClarosMinas GeraisBrazil
| | - Nelson Pereira Marques
- Department of Oral DiagnosisState University of CampinasFOP‐UNICAMPPiracicabaSão PauloBrazil
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Lee DW, Choi SY, Kim JW, Kwon TG, Lee ST. The impact of COVID-19 on the injury pattern for maxillofacial fracture in Daegu city, South Korea. Maxillofac Plast Reconstr Surg 2021; 43:35. [PMID: 34515891 PMCID: PMC8436019 DOI: 10.1186/s40902-021-00322-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 09/02/2021] [Indexed: 02/08/2023] Open
Abstract
Background This study aimed to analyze the impact of COVID-19 on oral and maxillofacial fracture in Daegu by comparing the demographic data in 2019 and 2020, retrospectively. We collected data from all patients having trauma who visited the emergency room for oral and maxillofacial fractures. Methods This retrospective study was based on chart review of patients who visited the emergency department of Kyungpook National University Hospital in Daegu, South Korea from January 1, 2019, to December 31, 2020. We conducted a comparative study for patients who presented with maxillofacial fractures with occlusal instability during pre-COVID-19 era (2019) and COVID-19 era (2000) with demographics and pattern of injuries. Results After the outbreak of COVID-19, the number of monthly oral and maxillofacial fractures, especially sports-related oral and maxillofacial fractures, decreased significantly. Also, the number of alcohol-related fractures increased significantly. In addition, as the number of monthly confirmed cases of COVID-19 increases, the incidence of fracture among these cases tends to decrease. Conclusions The COVID-19 pandemic has changed the daily life in Korea. Identifying the characteristics of patients having trauma can provide a good lead to understand this long-lasting infectious disease and prepare for future outbreaks.
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Affiliation(s)
- Dong-Woo Lee
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-daero, Jung-gu, Daegu, 41940, Republic of Korea
| | - So-Young Choi
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-daero, Jung-gu, Daegu, 41940, Republic of Korea
| | - Jin-Wook Kim
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-daero, Jung-gu, Daegu, 41940, Republic of Korea
| | - Tae-Geon Kwon
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-daero, Jung-gu, Daegu, 41940, Republic of Korea
| | - Sung-Tak Lee
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-daero, Jung-gu, Daegu, 41940, Republic of Korea.
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21
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Izna, Sasank Kuntamukkula VK, Khanna SS, Salokhe O, Chandra Tiwari RV, Tiwari H. Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID in Southern India: A Questionnaire Study. J Pharm Bioallied Sci 2021; 13:S448-S451. [PMID: 34447131 PMCID: PMC8375944 DOI: 10.4103/jpbs.jpbs_551_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 09/23/2020] [Accepted: 09/24/2020] [Indexed: 12/24/2022] Open
Abstract
Aim: This study was intended to evaluate the knowledge and apprehension of dental health professionals pertaining to COVID-19. Materials and Methods: In this cross-sectional survey, a self-administered questionnaire survey was used to validate the dental health professional's knowledge and apprehension pertaining to COVID-19. In this regard, a preliminary study with a convenience sample of 124 dentists working in various clinics in southern India was conducted so as to evaluate the knowledge and apprehension of dentists related to COVID-19 in India. This study, while limited in sample size, benefits the general practitioners as target readers to assess the awareness pertaining to COVID-19. Results: The results of this study reveal that there exists a good knowledge among dental health professionals pertaining to the COVID-19 virus and its oral manifestations in addition to the precautions to be taken for the prevention of COVID-19 in a clinical setup. However, there exists an apprehension as well as lack of awareness pertaining to the laboratory test to be carried out in a patient suspected with COVID-19 infections as well as the role of a mouthwash and the management of contaminated air in the dental clinic. Conclusion: The results elicited that there is a dearth of knowledge and relatively a fair apprehension among dental health professionals pertaining to COVID-19.
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Affiliation(s)
- Izna
- Department of Microbiology, Government Medical College and Associated Hospital, Rajauri, Jammu and Kashmir, India
| | | | - Shilpa Sunil Khanna
- Department of Oral and Maxillofacial Surgery, Sri Ramakrishna Dental College and Hospital, Coimbatore, Tamil Nadu, India
| | - Onkar Salokhe
- Department of Orthodontics and Dentofacial Orthopeadics, Vasantdada Patil Dental College, Sangli, Maharashtra, India
| | - Rahul Vinay Chandra Tiwari
- Department of OMFS, Narsinbhai Patel Dental College and Hospital, Sankalchand Patel University, Visnagar, Gujarat, India
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Jayakumar N, Hellwig S, Allison C, Stummer W, Holling M, Surash S. A Tale of Two Cities: Residents' Operative Experience in the United Kingdom and Germany During the Coronavirus Disease 2019 Pandemic. World Neurosurg 2021; 154:e428-e436. [PMID: 34280539 PMCID: PMC8285217 DOI: 10.1016/j.wneu.2021.07.053] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2021] [Revised: 07/10/2021] [Accepted: 07/12/2021] [Indexed: 12/23/2022]
Abstract
Background The coronavirus disease 2019 (COVID-19) pandemic has had a detrimental effect on residents’ operative training. Our aim was to identify the proportion of procedures performed by residents across 2 neurosurgical centers (1 in the United Kingdom and 1 in Germany) during the pandemic-affected months of March 2020–May 2020, inclusive, compared with March 2019–May 2019, inclusive. Methods All neurosurgical procedures performed at the United Kingdom and German institutions, between March 1, 2019 and May 31, 2019 (pre-COVID months) and March 1, 2020 and May 31, 2020 (COVID months), were extracted and operative notes evaluated. Statistical analysis was performed on SPSS version 22. Results There was a statistically significant reduction in operative volume in the United Kingdom center from the pre-COVID months to the COVID months (χ2(5) = 84.917; P < 0.001) but no significant difference in the operative volume in the German center (P = 0.61). A Mann-Whitney U test showed a statistically significant difference in the volume of residents operating in the COVID months compared with pre-COVID months in both United Kingdom and German centers (P < 0.001). The average number of procedures performed by residents in the United Kingdom center as the primary surgeon decreased from 82 to 72 per month (pre-COVID vs. COVID months), whereas German residents’ operating volume increased from 68 to 89 per month (pre-COVID vs. COVID months). Conclusions The COVID-19 pandemic has significantly reduced the volume of operating by neurosurgical residents in the United Kingdom center, whereas residents in the German center performed more procedures compared with 2019. This finding may reflect variations in national practice on maintaining surgical activities and provision of critical care beds during the first wave of the pandemic.
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Affiliation(s)
- Nithish Jayakumar
- Department of Neurosurgery, Royal Victoria Infirmary, Newcastle-upon-Tyne, United Kingdom.
| | - Sönke Hellwig
- Department of Neurosurgery, University Hospital Münster, Münster, North Rhine-Westphalia, Germany
| | - Callum Allison
- Medical School, Newcastle University, Newcastle-upon-Tyne, United Kingdom
| | - Walter Stummer
- Department of Neurosurgery, University Hospital Münster, Münster, North Rhine-Westphalia, Germany
| | - Markus Holling
- Department of Neurosurgery, University Hospital Münster, Münster, North Rhine-Westphalia, Germany
| | - Surash Surash
- Department of Neurosurgery, Royal Victoria Infirmary, Newcastle-upon-Tyne, United Kingdom
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Heimes D, Müller LK, Schellin A, Naujokat H, Graetz C, Schwendicke F, Goedecke M, Beck-Broichsitter B, Kämmerer PW. Consequences of the COVID-19 Pandemic and Governmental Containment Policies on the Detection and Therapy of Oral Malignant Lesions-A Retrospective, Multicenter Cohort Study from Germany. Cancers (Basel) 2021; 13:2892. [PMID: 34207863 PMCID: PMC8227890 DOI: 10.3390/cancers13122892] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Revised: 06/04/2021] [Accepted: 06/06/2021] [Indexed: 12/23/2022] Open
Abstract
(1) Background: In response to the global COVID-19 pandemic, governmental measures have been undertaken. The impact of the crisis on the healthcare of patients with cancer is largely unexplored. This multicenter cohort study aimed to investigate a potential screening delay and its consequences in patients with oral cancer (OC) during the pandemic. (2) Material and Methods: Data of patients who were first diagnosed with OC during different periods were collected, especially in terms of OC incidence, tumor stage/entity and time to intervention. The periods lockdown (LD) (13 March-16 June 2020), post-lockdown (PLD) (17 June-1 November 2020), and the corresponding equivalents in 2018/19 were differentiated and compared. (3) Results: There was no obvious trend towards a higher incidence of OC or higher tumor stages, whereas a trend towards a shorter time to intervention during the LD2020 could be observed. Subgroup analyses revealed an increased incidence in OC within the PLD2020 in Mainz, which might be explained by the partial closure of dental practices in this federal state during LD. (4) Conclusions: While there was no overall higher incidence of OC, we found closure of practices during LD to possibly delay cancer diagnosis. Therefore, measures must be taken to identify patients at risk and to ensure basic healthcare, especially in the context of dental screening measures.
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Affiliation(s)
- Diana Heimes
- Department of Oral- and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, Germany; (L.K.M.); (P.W.K.)
| | - Lena Katharina Müller
- Department of Oral- and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, Germany; (L.K.M.); (P.W.K.)
| | - Alexandra Schellin
- Department of Oral and Maxillofacial Surgery, University Hospital of Schleswig-Holstein, 24105 Kiel, Germany; (A.S.); (H.N.)
| | - Hendrik Naujokat
- Department of Oral and Maxillofacial Surgery, University Hospital of Schleswig-Holstein, 24105 Kiel, Germany; (A.S.); (H.N.)
| | - Christian Graetz
- Clinic for Conservative Dentistry and Periodontology, School of Dental Medicine, Christian-Albrechts-University of Kiel, 24118 Kiel, Germany;
| | - Falk Schwendicke
- Department of Operative and Preventive Dentistry, Charité University of Berlin, 10117 Berlin, Germany;
| | - Maximilian Goedecke
- Department of Oral- and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany; (M.G.); (B.B.-B.)
| | - Benedicta Beck-Broichsitter
- Department of Oral- and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany; (M.G.); (B.B.-B.)
| | - Peer W. Kämmerer
- Department of Oral- and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, Germany; (L.K.M.); (P.W.K.)
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Trecca E, Marano PG, Gelardi M, Cassano L, Verzicco GF, D'Ecclesia A, Cassano M, Longo F. Is 2020 the golden year of Otolaryngology research? The impact of COVID-19 on the Italian academic production. ACTA BIO-MEDICA : ATENEI PARMENSIS 2021; 92:e2021207. [PMID: 33988134 PMCID: PMC8182618 DOI: 10.23750/abm.v92i2.11557] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Accepted: 04/08/2021] [Indexed: 12/23/2022]
Abstract
BACKGROUND AND AIM The aim of this research was to review the articles published by the Otolaryngology (ORL) departments of the Italian University Hospitals in 2019 and in 2020 in order to analyze the impact of the COVID-19 pandemic on the academic production. METHODS PubMed and Scopus were searched for the articles published by the ORL departments of the Italian Universities in 2019 and in 2020. The main eligibility criteria were English-language articles, while there were no exclusion criteria related to topic. The articles were classified into seven domains corresponding to the main ORL subspecialties. RESULTS There was an overall increase in the number of articles by the 42.2% in 2020. Publications pertaining Rhinology and Laryngology increased more significantly in 2020, respectively by the 50.5% and 72.2%. Additionally, there was an increase in the number of articles concerning topics of general interest, by the 95.2% in 2020. Also, the citation trends of the articles published by the Italian University Hospitals increased remarkably in 2020. CONCLUSIONS These results evidenced an overall increase in the number of ORL articles. Although 2020 is going to be remembered as a year to forget, it should be acknowledged for being the "golden year of research".
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Goto M, Nagao T, Hasegawa S, Watanabe S, Miyabe S, Miyachi H. Impact of COVID-19 pandemic on oral and maxillofacial surgery in Japan: A report from a questionnaire survey during the different phases of the pandemic. ADVANCES IN ORAL AND MAXILLOFACIAL SURGERY 2021. [PMCID: PMC7983448 DOI: 10.1016/j.adoms.2021.100069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
COVID-19 pandemic has provided a new challenge to healthcare systems and medical care providers. In the current study, we describe the challenges faced and actions taken to provide optimum healthcare in Japan during the COVID-19 pandemic based on the results of a questionnaire survey that was conducted by oral and maxillofacial surgeons. A total of 24 Japanese institutions participated in the study. The first survey was conducted between June 22, 2020 and June 26, 2020, and the second survey was conducted between October 23, 2020 and November 8, 2020. The questionnaire focused on the practical situation in the respondent's hospital, personal protective equipment (PPE) availability, and what alterations had occurred compared to the situation before the COVID-19 pandemic. The commonest reported duration of restrictions to the outpatient clinic was 1–2 months. All of the institutions had lifted their restrictions on outpatient services by September 2020. Surgical procedures in the operating room were restricted in 74% of hospitals in the first wave of the pandemic; however, 88% lifted their restrictions and restarted their regular surgical services by November 2020. Although, non-urgent or elective procedures were delayed, surgeries for malignant tumors, maxillofacial infections, and trauma were performed at almost all hospitals during the pandemic. Health care institutions will require a new approach to maintain patient volume and recover from the pandemic. Going forward, it is also necessary to minimize the risk of exposure and transmission to health care personnel as well as patients.
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26
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Donohoe E, Courtney R, McManus E, Cheng J, Barry T. The impact of COVID-19 on Oral and Maxillofacial Surgery patient presentations to the emergency department: A West of Ireland experience. ADVANCES IN ORAL AND MAXILLOFACIAL SURGERY 2021. [PMCID: PMC7931733 DOI: 10.1016/j.adoms.2021.100061] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Following the outbreak of COVID-19 and subsequent restrictions in the Republic of Ireland, the number of Emergency Department attendances have reduced nationally. Concurrently, it would be expected that there would be a reduction in the number of patients attending the emergency department with specific oral and maxillofacial concerns. A retrospective analysis of Oral and Maxillofacial patients attending the Emergency Department in University Hospital Galway during the first three-month period of COVID-19 lockdown in 2020 was compared to patients presenting to the Emergency Department during the equivalent period in the preceding year. The analysis confirmed a 46% reduction in attendances during the COVID-19 lockdown period. There was also a significant decrease in the number of young patients attending due to maxillofacial trauma. Contributing factors to this reduction may include working from home, reducing face-to-face social activities and the closure of social settings. It must be noted that there was a two-fold increase in the number of patients attending with dental pain during the lockdown period in comparison to the preceding year. Similarly, there was a proportional increase in the number of those attending due to infection and requiring subsequent admission during the COVID-19 lockdown period. Patient anxiety related to contracting the virus may have contributed to patients presenting with infection during the COVID-19 lockdown period.
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Abstract
Introduction: Injury patterns are closely related to changes in behavior. Pandemics and measures undertaken against them may cause changes in behavior; therefore, changes in injury patterns during the coronavirus disease 2019 (COVID-19) outbreak can be expected when compared to the parallel period in previous years. Study Objective: The aim of this study was to compare injury-related hospitalization patterns during the overall national lockdown period with parallel periods of previous years. Methods: A retrospective study was completed of all patients hospitalized from March 15 through April 30, for years 2016-2020. Data were obtained from 21 hospitals included in the national trauma registry during the study years. Clinical, demographic, and circumstantial parameters were compared amongst the years of the study. Results: The overall volume of injured patients significantly decreased during the lockdown period of the COVID-19 outbreak, with the greatest decrease registered for road traffic collisions (RTCs). Patients’ sex and ethnic compositions did not change, but a smaller proportion of children were hospitalized during the outbreak. Many more injuries were sustained at home during the outbreak, with proportions of injuries in all other localities significantly decreased. Injuries sustained during the COVID-19 outbreak were more severe, specifically due to an increase in severe injuries in RTCs and falls. The proportion of intensive care unit (ICU) hospitalizations did not change, however more surgeries were performed; patients stayed less days in hospital. Conclusions: The lockdown period of the COVID-19 outbreak led to a significant decrease in number of patients hospitalized due to trauma as compared to parallel periods of previous years. Nevertheless, trauma remains a major health care concern even during periods of high-impact disease outbreaks, in particular due to increased proportion of severe injuries and surgeries.
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Longo F, Trecca EMC, D'Ecclesia A, Copelli C, Tewfik K, Manfuso A, Pederneschi N, Mastromatteo A, Russo MA, Pansini A, Lacerenza LM, Marano PG, Cassano L. Managing head and neck cancer patients during the COVID-19 pandemic: the experience of a tertiary referral center in southern Italy. Infect Agent Cancer 2021; 16:9. [PMID: 33546738 PMCID: PMC7862967 DOI: 10.1186/s13027-021-00352-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Accepted: 01/28/2021] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND The medical community has been deeply involved in fighting the Coronavirus disease 2019 (COVID-19) pandemic and, as a consequence, the care of non-COVID-19 patients has been impacted. However, the treatment of head and neck cancer patients is not deferrable, and an integrated strategy is required. The aim of the current article is to present the experience in the management of head and neck patients during the COVID-19 pandemic at the research hospital "Casa Sollievo della Sofferenza". This review contains replicable and widely usable instructions on how to avoid delays in the diagnosis and treatment of head and neck tumors and to ensure a gradual return to elective procedures. MAIN TEXT The Head and Neck Department of the research hospital "Casa Sollievo della Sofferenza" includes an Otolaryngology and a Maxillofacial Surgery Unit, both of which deal with the diagnosis and treatment of benign and malignant pathologies of the head and neck, as well as urgent/emergent consultations and surgical procedures that necessitate time sensitive operative management, such as cochlear implantation (CI). Given these premises and the complexity of the Department, the "COVID-19 organizing protocol" of the research hospital "Casa Sollievo della Sofferenza" was divided into two phases in accordance with the different stages of the pandemic and the priority of treatment. Special attention was given to the medical surveillance of health care workers and hospitalized patients, to the organization of the outpatient clinic and the operating setting as well as to the implementation of telehealth systems. CONCLUSIONS The COVID-19 pandemic is going to be a long-term situation with lasting effects on the public health and the entire society. Therefore, an efficient health care system has to adopt a double strategy: always being ready for a "new wave" of the pandemic and not forgetting non-COVID-19 patients, among whom head and neck cancer patients represent a priority. More than 1 year since the first outbreak in Wuhan, this review offers a unique and helpful perspective that incorporates awareness of the disease.
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Affiliation(s)
- Francesco Longo
- Department of Maxillofacial Surgery and Otolaryngology, IRCCS Casa Sollievo della Sofferenza, Viale Cappuccini, 1, 71013, San Giovanni Rotondo (Foggia), Italy
| | - Eleonora M C Trecca
- Department of Maxillofacial Surgery and Otolaryngology, IRCCS Casa Sollievo della Sofferenza, Viale Cappuccini, 1, 71013, San Giovanni Rotondo (Foggia), Italy.
- Department of Otolaryngology- Head and Neck Surgery, University Hospital of Foggia, Foggia, Italy.
| | - Aurelio D'Ecclesia
- Department of Maxillofacial Surgery and Otolaryngology, IRCCS Casa Sollievo della Sofferenza, Viale Cappuccini, 1, 71013, San Giovanni Rotondo (Foggia), Italy
| | - Chiara Copelli
- Department of Surgical Sciences; Unit of Maxillofacial Surgery, University Hospital of Turin- Città della salute e delle scienze, Turin, Italy
| | - Karim Tewfik
- Department of Maxillofacial Surgery and Otolaryngology, IRCCS Casa Sollievo della Sofferenza, Viale Cappuccini, 1, 71013, San Giovanni Rotondo (Foggia), Italy
| | - Alfonso Manfuso
- Department of Maxillofacial Surgery and Otolaryngology, IRCCS Casa Sollievo della Sofferenza, Viale Cappuccini, 1, 71013, San Giovanni Rotondo (Foggia), Italy
| | - Nicola Pederneschi
- Department of Maxillofacial Surgery and Otolaryngology, IRCCS Casa Sollievo della Sofferenza, Viale Cappuccini, 1, 71013, San Giovanni Rotondo (Foggia), Italy
| | - Annalisa Mastromatteo
- Department of Maxillofacial Surgery and Otolaryngology, IRCCS Casa Sollievo della Sofferenza, Viale Cappuccini, 1, 71013, San Giovanni Rotondo (Foggia), Italy
| | - Matteo Aldo Russo
- Department of Maxillofacial Surgery and Otolaryngology, IRCCS Casa Sollievo della Sofferenza, Viale Cappuccini, 1, 71013, San Giovanni Rotondo (Foggia), Italy
| | - Antonio Pansini
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, Maxillofacial Surgery Unit Naples, University of Naples Federico II, Naples, Italy
| | - Luca M Lacerenza
- Department of Maxillofacial Surgery and Otolaryngology, IRCCS Casa Sollievo della Sofferenza, Viale Cappuccini, 1, 71013, San Giovanni Rotondo (Foggia), Italy
| | - Pier Gerardo Marano
- Department of Maxillofacial Surgery and Otolaryngology, IRCCS Casa Sollievo della Sofferenza, Viale Cappuccini, 1, 71013, San Giovanni Rotondo (Foggia), Italy
- Department of Otolaryngology- Head and Neck Surgery, University Hospital of Foggia, Foggia, Italy
| | - Lazzaro Cassano
- Department of Maxillofacial Surgery and Otolaryngology, IRCCS Casa Sollievo della Sofferenza, Viale Cappuccini, 1, 71013, San Giovanni Rotondo (Foggia), Italy
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Priori A, Baisi A, Banderali G, Biglioli F, Bulfamante G, Canevini MP, Cariati M, Carugo S, Cattaneo M, Cerri A, Chiumello D, Colosio C, Cozzolino M, D'Arminio Monforte A, Felisati G, Ferrari D, Gambini O, Gardinali M, Marconi AM, Olivari I, Orfeo NV, Opocher E, Pietrogrande L, Previtera A, Rossetti L, Vegni E, Toschi V, Zuin M, Centanni S. The Many Faces of Covid-19 at a Glance: A University Hospital Multidisciplinary Account From Milan, Italy. Front Public Health 2021; 8:575029. [PMID: 33490013 PMCID: PMC7820812 DOI: 10.3389/fpubh.2020.575029] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 11/19/2020] [Indexed: 01/08/2023] Open
Abstract
In March 2020, northern Italy became the second country worldwide most affected by Covid-19 and the death toll overtook that in China. Hospital staff soon realized that Covid-19 was far more severe than expected from the few data available at that time. The Covid-19 pandemic forced hospitals to adjust to rapidly changing circumstances. We report our experience in a general teaching hospital in Milan, the capital of Lombardy, the most affected area in Italy. First, we briefly describe Lombardy's regional Covid-19-related health organizational changes as well as general hospital reorganization. We also provide a multidisciplinary report of the main clinical, radiological and pathological Covid-19 findings we observed in our patients.
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Affiliation(s)
- Alberto Priori
- Neurology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Alessandro Baisi
- Thoracic Surgery, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Giuseppe Banderali
- Pediatrics, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Federico Biglioli
- Maxillofacial Surgery, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Gaetano Bulfamante
- Pathology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Maria Paola Canevini
- Pediatric Neuropsychiatry, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Maurizio Cariati
- Radiology Unit, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Milan, Italy
| | - Stefano Carugo
- From the Units of Cardiology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Marco Cattaneo
- Internal Medicine, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Amilcare Cerri
- Dermatology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Davide Chiumello
- Intensive Care, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Claudio Colosio
- Workers' Health, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Mario Cozzolino
- Nephrology & Dialysis, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Antonella D'Arminio Monforte
- Infectious Disease, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Giovanni Felisati
- Otorhinolaryngology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Daris Ferrari
- Oncology Unit, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Milan, Italy
| | - Orsola Gambini
- Psychiatry, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Marco Gardinali
- Emergency Unit, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Milan, Italy
| | - Anna Maria Marconi
- Obstetrics & Gynecology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Isotta Olivari
- Neurology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Nicola Vincenzo Orfeo
- Strategic Hospital Management, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Milan, Italy
| | - Enrico Opocher
- Surgery, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Luca Pietrogrande
- Orthopedy & Traumatology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Antonino Previtera
- Rehabilitation, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Luca Rossetti
- Surgical Ophthalmology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Elena Vegni
- Clinical Psychology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Vincenzo Toschi
- Transfusion Unit, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Milan, Italy
| | - Massimo Zuin
- Gastroenterology & Hepatology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
| | - Stefano Centanni
- Respiratory Medicine, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy
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Cassoni A, Pucci R, Mangini N, Fadda MT, Battisti A, Giovannetti F, Terenzi V, Della Monaca M, Priore P, Raponi I, Valentini V. Head and Neck Cancer Treatment during COVID-19 Pandemic: A Central Experience in Rome. Emergency Management, Infection Prevention and Control. Cancers (Basel) 2020; 13:E33. [PMID: 33374237 PMCID: PMC7795055 DOI: 10.3390/cancers13010033] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Revised: 12/19/2020] [Accepted: 12/22/2020] [Indexed: 12/02/2022] Open
Abstract
The COVID-19 pandemic has significantly affected the surgical units, especially those operating on the airways. This study evaluates the series of patients with tumors of the head and neck treated by our unit during Phase-1 of the pandemic and the efficacy of the preventive measures implemented for protecting both the patients and staff. A screening program was administered to all the patients who had to undergo surgery. None of the patients tested and operated during Phase 1, between 10 March and 18 May 2020, were positive for COVID-19. A significant portion of the patients was suffering from tumors in advanced stages (T3 and T4). Two patients developed respiratory symptoms during their stay at the unit, so they were put in precautionary isolation and tested, but resulted negative for COVID-19. All the surgical department staff followed the Italian Ministry of Health's prevention protocol and underwent serological testing. IgG and IgM were negative in everyone, thus confirming that nobody had been exposed to the virus. This study highlights the commitment to efficiently treating patients suffering from tumors of the head and neck region and confirms the effectiveness of the safety measures used to protect our patients and staff's health.
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Affiliation(s)
- Andrea Cassoni
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (A.C.); (N.M.); (M.T.F.); (V.T.); (M.D.M.); (I.R.); (V.V.)
- Oncological and Reconstructive Maxillofacial Surgery Unit, Policlinico Umberto I of Rome, D.A.I. testa e collo. Viale del Policlinico 155, 00161 Rome, Italy; (A.B.); (F.G.); (P.P.)
| | - Resi Pucci
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (A.C.); (N.M.); (M.T.F.); (V.T.); (M.D.M.); (I.R.); (V.V.)
| | - Nicolò Mangini
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (A.C.); (N.M.); (M.T.F.); (V.T.); (M.D.M.); (I.R.); (V.V.)
| | - Maria Teresa Fadda
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (A.C.); (N.M.); (M.T.F.); (V.T.); (M.D.M.); (I.R.); (V.V.)
- Oncological and Reconstructive Maxillofacial Surgery Unit, Policlinico Umberto I of Rome, D.A.I. testa e collo. Viale del Policlinico 155, 00161 Rome, Italy; (A.B.); (F.G.); (P.P.)
| | - Andrea Battisti
- Oncological and Reconstructive Maxillofacial Surgery Unit, Policlinico Umberto I of Rome, D.A.I. testa e collo. Viale del Policlinico 155, 00161 Rome, Italy; (A.B.); (F.G.); (P.P.)
| | - Filippo Giovannetti
- Oncological and Reconstructive Maxillofacial Surgery Unit, Policlinico Umberto I of Rome, D.A.I. testa e collo. Viale del Policlinico 155, 00161 Rome, Italy; (A.B.); (F.G.); (P.P.)
| | - Valentina Terenzi
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (A.C.); (N.M.); (M.T.F.); (V.T.); (M.D.M.); (I.R.); (V.V.)
| | - Marco Della Monaca
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (A.C.); (N.M.); (M.T.F.); (V.T.); (M.D.M.); (I.R.); (V.V.)
| | - Paolo Priore
- Oncological and Reconstructive Maxillofacial Surgery Unit, Policlinico Umberto I of Rome, D.A.I. testa e collo. Viale del Policlinico 155, 00161 Rome, Italy; (A.B.); (F.G.); (P.P.)
| | - Ingrid Raponi
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (A.C.); (N.M.); (M.T.F.); (V.T.); (M.D.M.); (I.R.); (V.V.)
| | - Valentino Valentini
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (A.C.); (N.M.); (M.T.F.); (V.T.); (M.D.M.); (I.R.); (V.V.)
- Oncological and Reconstructive Maxillofacial Surgery Unit, Policlinico Umberto I of Rome, D.A.I. testa e collo. Viale del Policlinico 155, 00161 Rome, Italy; (A.B.); (F.G.); (P.P.)
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Rauso R, Chirico F, Federico F, Francesco Nicoletti G, Colella G, Fragola R, Pafundi PC, Tartaro G. Maxillo-facial reconstruction following cancer ablation during COVID-19 pandemic in southern Italy. Oral Oncol 2020; 115:105114. [PMID: 33334689 PMCID: PMC7837107 DOI: 10.1016/j.oraloncology.2020.105114] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Accepted: 11/22/2020] [Indexed: 11/30/2022]
Abstract
In COVID-19 pandemic era, one major concern is related to ensure optimal management to oncologic patients, even though a context of radical uncertainty. The aim of our effort is to guarantee high-quality and timely care, minimizing COVID-19 infection risk, according to our head and neck (HN) reconstructive mission, still more challenging because of the criticality of the period. Thus, our reconstructive decision algorithm is changed. Microvascular free flaps, reported to be the gold standard for surgical reconstruction, represent extremely specialized procedures necessitating an extended resource allocation not affordable in the adversities of the period. Therefore, we are obliged to define a paradigm shift in our approach, based on free-style reconstructive surgery principles of propeller flap concept. According to our experience, we believe that this viable and feasible surgical technique could represent a reconstructive landmark in this pandemic era, since any guideline is missing, besides HN reconstructive surgery is most likely heading towards a new reconstructive approach.
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Affiliation(s)
- Raffaele Rauso
- Maxillo-Facial Surgery, Maxillo-Facial Surgery Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy
| | - Fabrizio Chirico
- Maxillo-Facial Surgery Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy.
| | - Francesco Federico
- Maxillo-Facial Surgery Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy
| | | | - Giuseppe Colella
- Maxillo-Facial Surgery, Maxillo-Facial Surgery Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy
| | - Romolo Fragola
- Maxillo-Facial Surgery Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy
| | - Pia Clara Pafundi
- Advanced Medical and Surgical Sciences Department, University of Campania 'Luigi Vanvitelli', Naples, Italy
| | - Gianpaolo Tartaro
- Maxillo-Facial Surgery Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy
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32
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de Boutray M, Kün-Darbois JD, Sigaux N, Lutz JC, Veyssiere A, Sesque A, Savoldelli C, Dakpe S, Bertin H, Lallemant B, Llobet A, du Cailar M, Lauwers F, Davrou J, Foletti JM. Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study. Int J Oral Maxillofac Surg 2020; 50:750-755. [PMID: 33172710 PMCID: PMC7648505 DOI: 10.1016/j.ijom.2020.10.005] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 08/20/2020] [Accepted: 10/13/2020] [Indexed: 11/25/2022]
Abstract
The coronavirus disease 2019 (COVID-19) outbreak has had a major impact on medical and surgical activities. A decline in facial trauma incidence was noticed during the lockdown period. The aim of this study was to evaluate the decline in maxillofacial trauma in France during this particular period. A retrospective multicentre comparative study was initiated in 13 major French public hospital centres. The incidence of facial trauma requiring surgery during the first month of lockdown was compared to that during equivalent periods in 2018 and 2019. Differences in the types of trauma were also analysed. Thirteen maxillofacial departments participated in the study. A significant decline in maxillofacial trauma volumes was observed when compared to equivalent periods in 2018 and 2019 (106 patients compared to 318 and 296 patients, respectively), with an average reduction of 65.5% (P = 0.00087). The proportion of trauma due to sports and leisure was reduced when compared to reports in the literature. As a consequence, in the context of a pandemic, the material and human resources related to this activity could be reallocated to the management of other pathologies that cannot be postponed.
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Affiliation(s)
- M de Boutray
- Department of Maxillofacial Surgery, Gui de Chauliac University Hospital Centre, Montpellier University, Montpellier, France.
| | - J-D Kün-Darbois
- Department of Maxillofacial and Oral Surgery, Angers University Hospital, Angers, France.
| | - N Sigaux
- Department of Maxillofacial and Facial Plastic Surgery, Lyon Sud Hospital Centre, Hospices Civils de Lyon, Pierre-Benite, France.
| | - J-C Lutz
- Department of Maxillofacial Surgery and Stomatology, Strasbourg University Hospital Centre, Strasbourg, France.
| | - A Veyssiere
- Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen, France.
| | - A Sesque
- Oral and Maxillofacial Surgery Department, Estaing University Hospital, Clermont Ferrand, France.
| | - C Savoldelli
- Head and Neck University Institute, Nice University Hospital, Nice, France.
| | - S Dakpe
- Department of Maxillofacial Surgery, Amiens University Hospital Centre, Amiens, France; UR CHIMERE 7516, Picardie Jules Verne University, Amiens, France.
| | - H Bertin
- Department of Oral and Maxillofacial Surgery, Nantes University Hospital, Nantes, France.
| | - B Lallemant
- Department of Head and Neck Surgery, University Hospital Centre of Nîmes, Nîmes, France.
| | - A Llobet
- Department of Maxillofacial and Oral Surgery, Perpignan Hospital Centre, Perpignan, France.
| | - M du Cailar
- Maxillofacial Surgery Unit, Purpan University Hospital, Toulouse, France.
| | - F Lauwers
- Maxillofacial Surgery Unit, Purpan University Hospital, Toulouse, France.
| | - J Davrou
- Department of Maxillofacial Surgery and Stomatology, La Pitié-Salpêtrière University Hospital, AP-HP, Paris, France.
| | - J-M Foletti
- Aix Marseille University, APHM, IFSTTAR, LBA, La Conception University Hospital, Department of Maxillofacial Surgery, Marseille, France.
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Nasrabadi AN, Shali M, Ghorbani A, Matourypour P, Harati Khalilabad T. Challenges with healthcare workers' protection during the COVID-19 pandemic in Iran. Br J Oral Maxillofac Surg 2020; 59:e114-e117. [PMID: 33579542 PMCID: PMC7584918 DOI: 10.1016/j.bjoms.2020.10.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Accepted: 10/15/2020] [Indexed: 11/29/2022]
Abstract
During the COVID-19 pandemic, healthcare workers stand in the frontline of the fight against the disease. This study aimed to assess the challenges with personal protection during the pandemic in Tehran, Iran. Seven-hundred healthcare workers were surveyed between April and May 2020, and the study was performed in surgical care wards. Questionnaires, which were sent to 1000 workers via online platforms, social networks, and emails to different associations, were used to assess the use of personal protective equipment (PPE) and the reasons for not using it. A total of 700 replied. Face masks and face shields had the highest and lowest use, respectively. Equipment shortage, time constraint, low supervision, and lack of information were the reasons for personnel not using PPE. To reduce the burden of COVID-19 and accelerate the process of patient care, it is important to protect and maintain the well-being of staff. Organised national and international arrangements to protect them are critical.
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Affiliation(s)
- A N Nasrabadi
- School of Nursing and Midwifery, Medical Surgical Nursing Department, Tehran University of Medical Sciences, Tehran, Iran.
| | - M Shali
- Critical Care Nursing and Management Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
| | - A Ghorbani
- Medical Surgical Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
| | - P Matourypour
- Medical Surgical Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
| | - T Harati Khalilabad
- Department of Health Economics, School of Health Management and Health Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
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Impact de l’épidémie de Coronavirus-19 sur l’activité chirurgicale en ORL. ANNALES FRANÇAISES D'OTO-RHINO-LARYNGOLOGIE ET DE PATHOLOGIE CERVICO-FACIALE 2020. [PMCID: PMC7293515 DOI: 10.1016/j.aforl.2020.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
But Le but de cette étude est d’évaluer l’impact de la pandémie de la COVID-19 sur l’activité chirurgicale de trois services d’ORL d’Île-de-France, une région fortement touchée par l’épidémie. Matériel et méthodes Le nombre et la nature des interventions chirurgicales a été recueilli au sein de trois services d’ORL franciliens universitaires du 17/03/2020 au 17/04/2020 et du 18/03/2019 au 18/04/2019. Le centre 1 est un service adulte généraliste à orientation otologique. Le centre 2 est un service adulte généraliste à orientation cancérologique. Le 3e centre est exclusivement pédiatrique. Une analyse comparative de la baisse de l’activité chirurgicale a été effectuée entre 2019 et 2020. Objectif Analyser la baisse de l’activité chirurgicale. Résultats Les 3 centres ont opéré 540 patients en 2019, versus 89 en 2020, soit une baisse de 84 %. Cette diminution est de 89 % dans le centre 1, de 61 % dans le centre 2, et 95 % dans le centre pédiatrique. L’activité otologique a baissé de 97 %, endonasale de 91 %, cervicale de 54 %, plastique de 82 %, et transorale de 85 %. Le nombre de chirurgies pour cancer cutané a diminué (24 contre 9), alors que le nombre total de cervicotomies pour cancer est resté stable (18 contre 22). Le nombre de trachéotomies programmées est passé de 8 à 22. Conclusion Le nombre d’interventions chirurgicales en ORL a chuté de 84 % pendant le premier mois de l’épidémie de la COVID-19. Cette baisse d’activité est principalement aux dépens de la chirurgie fonctionnelle. L’activité oncologique a pu être préservée. Les structures hospitalières devront absorber un surplus d’activité majeur lors de l’après-crise.
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Yeung E, Brandsma DS, Karst FW, Smith C, Fan KFM. The influence of 2020 coronavirus lockdown on presentation of oral and maxillofacial trauma to a central London hospital. Br J Oral Maxillofac Surg 2020; 59:102-105. [PMID: 33208288 PMCID: PMC7435349 DOI: 10.1016/j.bjoms.2020.08.065] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 08/12/2020] [Indexed: 10/30/2022]
Abstract
The novel coronavirus COVID-19 was first identified in China in December 2019. Its spread resulted in a pandemic, with the United Kingdom entering a period of national lockdown on 23 March 2020 to reduce disease burden on the National Health Service (NHS). King's College Hospital is a Major Trauma Centre serving an inner-city population of 700,000 with 120,000 patients attending the emergency department (ED) annually. We aimed to determine the effect of lockdown on OMFS trauma presentations and lessons learned from emergency service provision during a pandemic. All referrals to the oral and maxillofacial surgical (OMFS) team from ED during the first six weeks of the lockdown period - 23 March 2020 - 3 May 2020 - were compared with the same six-week period in 2019. A total of 111 referrals were made to OMFS during the first six weeks of the lockdown period in 2020 compared with 380 referrals in 2019. Of these, 50.5%, (n=192) were related to facial trauma in 2019 vs (63.1%, n=70) in 2020. Fewer patients were admitted under OMFS: 17.4% (n=35) in 2019 vs 2.9% (n=2) in 2020, and a greater number of patients were discharged from OMFS care directly from the ED: 63.2% (n=127) in 2019 vs 82.9% (n=58) in 2020. There was profound effect of the lockdown on referrals to OMFS from the ED, in number and type of diagnosis. This is potentially reflective of the increased availability of acute/emergency dental services in South-East London during the lockdown period. This gives us valuable insight for service planning in the event of further restrictions.
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Affiliation(s)
- E Yeung
- Department of Oral & Maxillofacial Surgery, King's College Hospital, London, SE5 9RS.
| | - D S Brandsma
- Department of Oral & Maxillofacial Surgery, King's College Hospital, London, SE5 9RS.
| | - F W Karst
- Department of Oral & Maxillofacial Surgery, King's College Hospital, London, SE5 9RS.
| | - C Smith
- Department of Oral & Maxillofacial Surgery, King's College Hospital, London, SE5 9RS.
| | - K F M Fan
- Department of Oral & Maxillofacial Surgery, King's College Hospital, London, SE5 9RS.
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Hervochon R, Atallah S, Levivien S, Teissier N, Baujat B, Tankere F. Impact of the COVID-19 epidemic on ENT surgical volume. Eur Ann Otorhinolaryngol Head Neck Dis 2020; 137:269-271. [PMID: 32807696 PMCID: PMC7413112 DOI: 10.1016/j.anorl.2020.08.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Purpose The purpose of this study was to assess the impact of the COVID-19 pandemic on the surgical volume of three ENT departments in Ile-de-France, a region severely affected by the epidemic. Materials and methods The number and nature of surgeries was collected from three university hospital ENT departments from 17/03/2020 to 17/04/2020 and from 18/03/2019 to 18/04/2019. Centre 1 is a general adult ENT department specialized in otology, centre 2 is a general adult ENT department specialized in cancer and centre 3 is a paediatric ENT department. Comparative analysis of the decreased surgical volume was conducted between 2019 and 2020. Objective To analyse the reduction of ENT surgical volume. Results The three centres operated on 540 patients in 2019, versus 89 in 2020, i.e. an 84% decrease: 89% in Centre 1, 61% in Centre 2, and 95% in the paediatric centre. Otological surgery decreased by 97%, endonasal surgery decreased by 91%, head and neck surgery decreased by 54%, plastic surgery decreased by 82%, and transoral surgery decreased by 85%. The number of surgical operations for skin cancer decreased (24 vs. 9), while the total number of head and neck cancer surgeries remained stable (18 vs. 22). The number of planned tracheostomies increased from 8 to 22. Conclusion The number of ENT surgeries decreased by 84% during the first month of the COVID-19 epidemic. This decreased surgical volume mainly concerned functional surgery, while the level of cancer surgery remained stable. Hospital units will need to absorb a marked excess surgical volume after the epidemic.
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Affiliation(s)
- R Hervochon
- Service d'ORL, GHU Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Sorbonne Université, Paris, France.
| | - S Atallah
- Service d'ORL, CHU Tenon, Assistance Publique-Hôpitaux de Paris, Sorbonne Université, Paris, France
| | - S Levivien
- Service d'ORL, CHU Robert Debré, Assistance Publique-Hôpitaux de Paris, Université Diderot, Paris, France
| | - N Teissier
- Service d'ORL, CHU Robert Debré, Assistance Publique-Hôpitaux de Paris, Université Diderot, Paris, France
| | - B Baujat
- Service d'ORL, CHU Tenon, Assistance Publique-Hôpitaux de Paris, Sorbonne Université, Paris, France
| | - F Tankere
- Service d'ORL, GHU Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Sorbonne Université, Paris, France
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Olding J, Zisman S, Olding C, Fan K. Penetrating trauma during a global pandemic: Changing patterns in interpersonal violence, self-harm and domestic violence in the Covid-19 outbreak. Surgeon 2020; 19:e9-e13. [PMID: 32826157 PMCID: PMC7392113 DOI: 10.1016/j.surge.2020.07.004] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 07/01/2020] [Accepted: 07/14/2020] [Indexed: 02/03/2023]
Abstract
INTRODUCTION The restrictions imposed on social activity in response to the Covid-19 pandemic have had a profound impact globally. In the UK, the NHS was placed on a war-footing, with elective surgery, face-to-face outpatient clinics, and community care facilities all scaled back as a temporary measure to redistribute scarce resources. There has been concern during this period over increasing levels of violence in the domestic setting, as well as self-harm. METHODS Data was collected on all patients presenting with traumatic penetrating injuries during the 'lockdown' period of 23rd March to 29th April 2020. Demographics and injury details were compared with the same period in the two preceding years. RESULTS Overall trauma fell by 35% compared with the previous year. Over one in four penetrating injuries seen were a result of self-harm, which was significantly higher than in previous years (11% in 2019, 2% in 2018). There were two cases of injuries due to domestic violence, while a total of 4 cases of injury arose in separate violent domestic incidents. Self-harm commonly involved penetrating injury to the neck. DISCUSSION Our centre has seen an increase in the proportion of penetrating injuries as a result of both self-harm and violence in the domestic setting. The number of penetrating neck injury cases, which can represent suicidal intent or a major presentation of psychiatric illness, is of particular concern. We must further investigate the effect of social restrictions on violent injury, and how home confinement may influence a changing demographic picture of victims.
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Affiliation(s)
- James Olding
- Department of Oral & Maxillofacial Surgery, King's College Hospital, London, SE5 9RS, United Kingdom
| | - Sophia Zisman
- South London and Maudsley NHS Foundation Trust (SLaM), London, SE5, United Kingdom
| | - Carole Olding
- Emergency Department, King's College Hospital, London, SE5 9RS, United Kingdom
| | - Kathleen Fan
- Department of Oral & Maxillofacial Surgery, King's College Hospital, London, SE5 9RS, United Kingdom; Faculty of Dentistry, Oral Craniofacial Sciences, King's College London, United Kingdom.
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Nayak S. Managing the oral and maxillofacial surgical patient during the SARS-CoV-2 pandemic: A review of guidelines. J Int Oral Health 2020. [DOI: 10.4103/jioh.jioh_243_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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