China Journal of Oral and Maxillofacial Surgery ›› 2020, Vol. 18 ›› Issue (2): 105-110.doi: 10.19438/j.cjoms.2020.02.003

• Special Topic on COVID-19 • Previous Articles     Next Articles

Clinical analysis of 25 oral and maxillofacial emergency patients during the period of COVID-19 epidemic

GUO Yu-xuan1, CONG Bing-feng2, LU Jin-biao1, YANG Yong1, LIU Yi-wen1, DING Ming-chao1, MA Jie1, CHEN Yuan-li1, LI Qian3, LIU Yan-pu1, TIAN Lei1   

  1. 1.Department of Maxillofacial Trauma and Orthognathic Surgery,State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University. Xi'an 710032;
    2.Department of Maxillofacial Plastic and Cosmetic Surgery;
    3.Operation Room of School of Stomatology, The Fourth Military Medical University. Xi'an 710032, Shaanxi Province, China
  • Received:2020-02-26 Revised:2020-02-27 Online:2020-03-20 Published:2020-04-30

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Abstract: PURPOSE：The purpose of this study was to analyze the features and treatment protocols of emergency cases treated in the Department of Oral and Maxillofacial Surgery, The Fourth Military Medical University during the period of COVID-19 epidemic, summarize the prevention and control measures, and provide reference for establishing oral and maxillofacial emergency treatment standard during the epidemic period. METHODS: The information of 25 emergency patients who were treated from 23 January 2020 to 20 February 2020 was collected. Then patients' data were analyzed according to the age, gender, disease and pathogeny. The therapeutic protocol for oral and maxillofacial emergency cases during the period of COVID-19 epidemic and the details of operation were investigated and discussed. RESULTS: During the epidemic period, 25 emergency patients were successfully treated. Among them, there were 10 males and 15 females, twelve patients were younger than 18 years old. Eleven patients were diagnosed as oral and facial laceration, while 10 patients were diagnosed as mandibular fractures. Five patients were given minor debridement in clinical room under local anesthesia with second-degree protection of the medical staff. Nineteen patients underwent surgery in negative pressure with the third-degree protection equipment. All patients were discharged in 3 weeks and infection of COVID-19 was not found in the whole therapeutic process. CONCLUSIONS: Facial injury is the leading cause of maxillofacial emergency during the period of COVID-19 epidemic. Children and woman are prone to facial trauma than adult man. Fall down is the main injury cause rather than traffic accident, while traffic accident is prone to lead mandibular fractures. The utmost point of treating oral and maxillofacial emergency patients in this special time is adopting strict prevention and protection measures during the whole therapeutic process. Oral and maxillofacial surgeons should give patients a simple, effective and definite approach to reduce the duration of operation, they must have good communication with infection control professionals and the hospital administrations.

Key words: COVID-19, Oral and maxillofacial surgery, Emergency, Mandibular Fracture, Maxillofacial space infection

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