Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Epidemiologic Changes of Facial Bone Fracture before and after Coronavirus Disease 2019: A Level 1 Trauma Center in Korea

  • Jeong Ho Kim (Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University) ;
  • Chae Eun Yang (Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University) ;
  • Sug Won Kim (Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University) ;
  • Jiye Kim (Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University)
  • Received : 2022.03.31
  • Accepted : 2022.09.20
  • Published : 2023.01.15
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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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References

  1. World Health Organization (WHO) Director-General's opening remarks at the media briefing on COVID19 [Internet]. [Cited 2020 March 12]. Accessed October 8, 2022 at: https://www.who.int/dg/speeches/detail/who-directorgeneral-s-opening-remarks-at-the-media-briefing-on-covid-19-11-march2020
  2. World Health Organization (WHO) Coronavirus disease (COVID19) pandemic [Internet]. [Cited 2021 Nov 23]. Accessed October 8, 2022 at: https://www.who.int
  3. Sarac NJ, Sarac BA, Schoenbrunner AR, et al. A review of state guidelines for elective orthopaedic procedures During the COVID-19 outbreak. J Bone Joint Surg Am 2020;102(11):942-945 https://doi.org/10.2106/JBJS.20.00510
  4. Umeda-Raffa S, Pergolizzi JV Jr, Raffa RB. Bone fractures during the time of coronavirus. J Clin Pharm Ther 2021;46(02):543-546 https://doi.org/10.1111/jcpt.13297
  5. de Boutray M, Kun-Darbois JD, Sigaux N, et al. Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study. Int J Oral Maxillofac Implants 2021;50(06):750-755 https://doi.org/10.1016/j.ijom.2020.10.005
  6. Lalloo R, Lucchesi LR, Bisignano C, et al. Epidemiology of facial fractures: incidence, prevalence and years lived with disability estimates from the Global Burden of Disease 2017 study. Inj Prev 2020;26(Suppl 1):i27-i35
  7. Salzano G, Dell'Aversana Orabona G, Audino G, et al. Have there been any changes in the epidemiology and etiology of maxillofacial trauma during the COVID-19 pandemic? An Italian multicenter study. J Craniofac Surg 2021;32(04):1445-1447 https://doi.org/10.1097/SCS.0000000000007253
  8. Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395(10227):912-920 https://doi.org/10.1016/S0140-6736(20)30460-8
  9. Serafini G, Parmigiani B, Amerio A, Aguglia A, Sher L, Amore M. The psychological impact of COVID-19 on the mental health in the general population. QJM 2020;113(08):531-537 https://doi.org/10.1093/qjmed/hcaa201
  10. Allevi F, Dionisio A, Baciliero U, et al. Impact of COVID-19 epidemic on maxillofacial surgery in Italy. Br J Oral Maxillofac Surg 2020;58(06):692-697 https://doi.org/10.1016/j.bjoms.2020.04.035
  11. Horan J, Duddy JC, Gilmartin B, et al. The impact of COVID-19 on trauma referrals to a National Neurosurgical Centre. Ir J Med Sci 2021;190(04):1281-1293 https://doi.org/10.1007/s11845-021-02504-7
  12. Rozenfeld M, Peleg K, Givon A, et al. COVID-19 changed the injury patterns of hospitalized patients. Prehosp Disaster Med 2021;36(03):251-259 https://doi.org/10.1017/S1049023X21000285
  13. Wang CJ, Hoffman GR, Walton GM. The implementation of COVID-19 social distancing measures changed the frequency and the characteristics of facial injury: the Newcastle (Australia) experience. Craniomaxillofac Trauma Reconstr 2021;14(02):150-156 https://doi.org/10.1177/1943387520962280
  14. Killgore WDS, Cloonan SA, Taylor EC, Lucas DA, Dailey NS. Alcohol dependence during COVID-19 lockdowns. Psychiatry Res 2021;296:113676
  15. Boschuetz N, Cheng S, Mei L, Loy VM. Changes in alcohol use patterns in the United States during COVID-19 pandemic. WMJ 2020;119(03):171-176
  16. Korea JoongAng Daily (Daily JA) Scooters crowd the streets of Seoul, causing backlash [Internet]. [Cited 2020 Sep 3]. Accessed October 8, 2022 at: https://koreajoongangdaily.joins.com/2020/09/03/business/industry/scooter-electric-scooter-electric-bike/20200903180000375.html
  17. Kim M, Lee S, Ko DR, Kim DH, Huh JK, Kim JY. Craniofacial and dental injuries associated with stand-up electric scooters. Dent Traumatol 2021;37(02):229-233 https://doi.org/10.1111/edt.12620