Pagotto Luís Eduardo Charles, Santos Thiago de Santana, Pastore Gabriel Pires
Sírio Libanês Hospital, Instituto de Educação e Pesquisa (IEP), São Paulo, SP, Brazil.
Instituto de Educação Maxilofacial, Aracaju, SE, Brazil.
Braz J Otorhinolaryngol. 2022 Nov-Dec;88(6):990-998. doi: 10.1016/j.bjorl.2021.09.002. Epub 2021 Oct 23.
The aim of this systematic review was to evaluate the possible impacts of COVID-19 on oral and maxillofacial surgery practice, as well as the protocols employed by oral and maxillofacial surgeons to minimize the risks of contamination.
Searches were performed in different databases up to 15 March 2021. Articles related to oral surgery dynamics within the context of the COVID-19 pandemic were included. The articles were considered eligible if they met the following inclusion criteria: observational studies that provided recommendations regarding maxillofacial surgery measures during the COVID-19 pandemic and that analyzed the risk of contamination of patients/professionals with SARS-CoV-2.
Seven studies met the inclusion criteria and were selected for the present systematic review. Demands for personal protective equipment increased significantly, with studies reporting the scarcity of fundamental equipment such as FFP2/N95 masks. Significant changes in the infrastructure of outpatient, surgical and inpatient units and in the care protocols themselves were observed.
The COVID-19 pandemic particularly affected the routine of oral and maxillofacial surgery residents. Several additional recommendations for surgical practice or for the surgical team were evaluated and discussed, such as performing primarily urgent and emergency surgeries, remote patient care and screening, postponing elective surgeries, and new teaching methods in oral and maxillofacial surgery residency programs. In addition, screening of patients and of the surgery team for COVID-19 is strongly recommended.
本系统评价旨在评估新型冠状病毒肺炎（COVID-19）对口腔颌面外科实践可能产生的影响，以及口腔颌面外科医生为降低污染风险所采用的方案。
截至2021年3月15日，在不同数据库中进行检索。纳入与COVID-19大流行背景下口腔外科动态相关的文章。若文章符合以下纳入标准，则被视为合格：提供有关COVID-19大流行期间颌面外科措施建议并分析患者/专业人员感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）风险的观察性研究。
七项研究符合纳入标准，被选入本系统评价。个人防护装备的需求显著增加，研究报告称FFP2/N95口罩等基本装备短缺。观察到门诊、手术和住院科室的基础设施以及护理方案本身发生了显著变化。
COVID-19大流行尤其影响了口腔颌面外科住院医师的日常工作。评估并讨论了一些针对手术实践或手术团队的额外建议，例如主要进行紧急和急诊手术、远程患者护理和筛查、推迟择期手术以及口腔颌面外科住院医师培训项目中的新教学方法。此外，强烈建议对患者和手术团队进行COVID-19筛查。
