Department of Maxillofacial Surgery, Leipzig University, Liebigstraße 12, 04103 Leipzig, Germany.
Department of Surgical Sciences, Faculty of Dentistry, Kuwait University, Safat, Kuwait.
J Craniofac Surg. 2021 May 1;32(3):e305-e308. doi: 10.1097/SCS.0000000000007062.
The COVID-19 pandemic affects basic health care in maxillofacial surgery (MFS) due to the shift in resources and the change in patient disorders treated during the pandemic. This paper aims to elucidate the medical and financial consequences driven by the measures for COVID-19 treatment in a tertiary care centre.
To evaluate the impact of pandemic measures on daily routines of MFS, the surgical schedule during the first 2 weeks after the onset of the curfew (March 2020), and to compare it with the schedule of the same period of time 1 year earlier. Furthermore, postponed surgeries as well as cancelled follow-ups are listed. The loss of earning was calculated as well as the number and kind of postponed procedures.
The number of surgeries decreased by 45% (n = 163 in 2019 vs n = 89 in 2020), and the duration of the surgeries decreased from 94.2 minutes to 62.1 minutes. No elective surgeries, such as implantology, aesthetic surgery, or orthognathic surgery, took place. Furthermore, also trauma cases decreased from 9 to 3 cases. Considering all variables, the financial loss can be calculated as approximately 100,256.50 Euros per week.
The impact of COVID-19 on MFS is certainly of medical and economic importance and is related to the duration of the pandemic.
由于资源转移以及疫情期间治疗患者疾病类型的改变，COVID-19 大流行对口腔颌面外科（MFS）的基本医疗产生影响。本文旨在阐明三级护理中心 COVID-19 治疗措施所带来的医疗和经济后果。
为了评估大流行措施对 MFS 日常工作的影响，我们分析了戒严令开始后前两周的手术日程安排（2020 年 3 月），并将其与前一年同期的日程安排进行了比较。此外，还列出了推迟的手术和取消的随访。我们还计算了收入损失以及推迟手术的数量和类型。
手术数量减少了 45%（2019 年为 163 例，2020 年为 89 例），手术时间从 94.2 分钟缩短至 62.1 分钟。没有进行任何择期手术，如种植体、美容手术或正颌手术。此外，创伤病例也从 9 例减少至 3 例。考虑到所有变量，每周的经济损失约为 100256.50 欧元。
COVID-19 对 MFS 的影响无疑具有医疗和经济重要性，并且与大流行的持续时间有关。
