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Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study
Authors:M. de Boutray  J.-D. Kün-Darbois  N. Sigaux  J.-C. Lutz  A. Veyssiere  A. Sesque  C. Savoldelli  S. Dakpe  H. Bertin  B. Lallemant  A. Llobet  M. du Cailar  F. Lauwers  J. Davrou  J.-M. Foletti
Affiliation:1. Department of Maxillofacial Surgery, Gui de Chauliac University Hospital Centre, Montpellier University, Montpellier, France;2. Department of Maxillofacial and Oral Surgery, Angers University Hospital, Angers, France;3. Department of Maxillofacial and Facial Plastic Surgery, Lyon Sud Hospital Centre, Hospices Civils de Lyon, Pierre-Benite, France;4. Department of Maxillofacial Surgery and Stomatology, Strasbourg University Hospital Centre, Strasbourg, France;5. Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen, France;6. Oral and Maxillofacial Surgery Department, Estaing University Hospital, Clermont Ferrand, France;7. Head and Neck University Institute, Nice University Hospital, Nice, France;8. Department of Maxillofacial Surgery, Amiens University Hospital Centre, Amiens, France;9. UR CHIMERE 7516, Picardie Jules Verne University, Amiens, France;10. Department of Oral and Maxillofacial Surgery, Nantes University Hospital, Nantes, France;11. Department of Head and Neck Surgery, University Hospital Centre of Nîmes, Nîmes, France;12. Department of Maxillofacial and Oral Surgery, Perpignan Hospital Centre, Perpignan, France;13. Maxillofacial Surgery Unit, Purpan University Hospital, Toulouse, France;14. Department of Maxillofacial Surgery and Stomatology, La Pitié-Salpêtrière University Hospital, AP-HP, Paris, France;15. Aix Marseille University, APHM, IFSTTAR, LBA, La Conception University Hospital, Department of Maxillofacial Surgery, Marseille, France
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.
Keywords:maxillofacial trauma  epidemiology  COVID-19  lockdown  facial fracture
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