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CC BY-NC-ND 4.0 · Arch Plast Surg 2023; 50(01): 037-041
DOI: 10.1055/a-1950-4420
Pediatric/Craniomaxillofacial/Head & Neck
Original Article

Epidemiologic Changes of Facial Bone Fracture before and after Coronavirus Disease 2019: A Level 1 Trauma Center in Korea

Jeong Ho Kim 
1   Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University, Wonju-si, Gangwon-do, Republic of Korea
,
Chae Eun Yang 
1   Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University, Wonju-si, Gangwon-do, Republic of Korea
,
Sug Won Kim 
1   Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University, Wonju-si, Gangwon-do, Republic of Korea
,
Jiye Kim 
1   Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University, Wonju-si, Gangwon-do, Republic of Korea
› Institutsangaben Funding None.
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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.

Keywords

bone fracture - epidemiology - pandemic

Authors' Contributions

J.K. conceptualized this study. J.H.K. contributed to data curation. J.H.K. did formal analysis. J.H.K. investigated the study. C.E.Y., S.W.K., and J.K. were involved in methodology. S.W.K., and C.E.Y. did the project administration. C.E.Y., S.W.K., and J.K. helped in providing resources. J.H.K. helped in providing software. C.E.Y., S.W.K., and J.K. supervised the study. S.W.K. and J.K. validated the study. J.H.K. contributed to visualization. J.H.K. wrote the original draft. J.K. reviewed and edited the manuscript. All the authors provided approval of final manuscript.


Ethical Approval

The study was approved by the Institutional Review Board of Wonju Severance Christian Hospital (IRB CR321049) and performed in accordance with the principles of the Declaration of Helsinki. The informed consent was waived because this study design is a retrospective chart review.


Supplementary Material



Publikationsverlauf

Eingereicht: 31. März 2022

Angenommen: 20. September 2022

Accepted Manuscript online:
25. September 2022

Artikel online veröffentlicht:
06. Februar 2023

© 2023. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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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
    Google Scholar
  • 2 World Health Organization (WHO). Coronavirus disease (COVID-19) pandemic [Internet]. [Cited 2021 Nov 23]. Accessed October 8, 2022 at: https://www.who.int
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 4 Umeda-Raffa S, Pergolizzi Jr JV, Raffa RB. Bone fractures during the time of coronavirus. J Clin Pharm Ther 2021; 46 (02) 543-546
    CrossrefPubMedGoogle Scholar
  • 5 de Boutray M, Kün-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
    CrossrefPubMedGoogle Scholar
  • 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. 01) i27-i35
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 14 Killgore WDS, Cloonan SA, Taylor EC, Lucas DA, Dailey NS. Alcohol dependence during COVID-19 lockdowns. Psychiatry Res 2021; 296: 113676
    CrossrefPubMedGoogle Scholar
  • 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
    Google Scholar
  • 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
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar