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Changing of nasal fracture patterns in maxillofacial trauma consultation-impact of the covid-19 pandemic

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Abstract

Background

In 2020, the coronavirus SARS-CoV-2 led to a pandemic that had a major impact on the global health care systems. The aim of this study was to analyze the impact of the Covid-19 pandemic on nasal bone (NB) fracture patterns/distributions and circumstances in a German cranio-maxillofacial trauma center.

Materials and methods

This retrospective study compared the nasal fracture patterns of patients in the PreCovid (PC) era (February 2019 - January 2020) with patients in the IntraCovid (IC) era (February 2020 - January 2021). In addition to baseline characteristics, the type of NB fractures, the circumstances leading to NB fracture and hospital admissions/treatments were analyzed.

Results

The present study showed a significant decrease in the total number of NB fractures during the Covid-19 pandemic. In the IC period, a significant increase in falls and virus-/flu associated syncopes leading to NB fractures was detected. At the same time, a significant decrease in sports accidents, road traffic accidents and interpersonal violence leading to NB fractures was observed in the IC period. Under the influence of the Covid-19 pandemic, a significant increase in accidents at home, accidents during the weekdays and closed reductions under local anesthesia was detected when being compared to the PC period. The daytime of trauma leading to NB fractures also changed significantly from night-time (PC) to morning-time (IC).

Conclusion

The Covid-19 pandemic had a significant impact on the NB fracture circumstances and treatment modalities. Therefore, the results of this study can serve as a baseline for further studies of the impact of the Covid-19 pandemic on NB fracture patterns among different countries.

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Data availability

No datasets were generated or analysed during the current study.

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Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Army Hospital Hamburg, Lesserstraße 180, 22049, Hamburg, Germany

    Florian Dudde, Wilken Bergmann, Thomas Telschow, Johannes Schunk & Oliver Schuck

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  1. Florian Dudde
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Contributions

JS, OS, WB, TT and FD treated the patients and revised the article. FD researched the scientific literature, provided statistical findings/analysis and wrote the article. All Authors gave final approval for publication.

Corresponding author

Correspondence to Florian Dudde.

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Ethics approval and consent to participate

This study was conducted in accordance with the principles of the Declaration of Helsinki. Ethical approval was waived by the clinical Ethics Committee of the Army Hospital/German army research committee (IRB). All the procedures/diagnostics being performed were part of the routine care. Informed consent was waived by the clinical ethical board due to the retrospective nature of the study.

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All authors gave final approval for publication. The authors affirm that human research participants provided informed consent for publication of the images/figures.

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Dudde, F., Bergmann, W., Telschow, T. et al. Changing of nasal fracture patterns in maxillofacial trauma consultation-impact of the covid-19 pandemic. Oral Maxillofac Surg 28, 1571–1578 (2024). https://doi.org/10.1007/s10006-024-01286-3

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