Yeoh Melvyn, Lai Juen Bin, Ng Chee-Hon
Division Chief of Oral and Maxillofacial Surgery, University of Kentucky College of Dentistry, USA.
Department of Oral and Maxillofacial Surgery, The National Dental Centre, Singapore.
J Oral Maxillofac Surg Med Pathol. 2023 May;35(3):195-200. doi: 10.1016/j.ajoms.2022.09.001. Epub 2022 Sep 23.
The coronavirus disease 2019 caused by the Severe Acute Respiratory Syndrome Coronavirus-2 has resulted in many confirmed cases around the world. Sars-CoV-2 remains viable and infectious in aerosols dispersed in air and is viable on surfaces up to several days. Symptomatic patients are the main reservoir for transmission. Evidence suggests that asymptomatic patients and patients during their incubation period can shed and transmit Sars-CoV-2. The infective potential can be reduced through the use of personal protective equipment. Healthcare professionals especially the oral maxillofacial surgeons are at increased risk of being infected by the virus. Oral maxillofacial injuries typically involve vital structures in the upper aerodigestive tract and are emergent. Facial trauma surgery cannot be delayed or deferred in a pandemic. This review focuses on precautions surgeons should adopt while managing facial trauma patients in the emergency department and whilst performing emergency surgeries on these patients during the current COVID-19 pandemic. Strict and effective infection control protocols for facial trauma management are needed to minimise this risk of transmission. This review was part of the lecture given by Professor Melvyn Yeoh at the 14th Asian congress on Oral and Maxillofacial Surgery recently held virtually in Singapore due to the pandemic.
由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）引起的2019冠状病毒病已在全球导致许多确诊病例。SARS-CoV-2在空气中分散的气溶胶中仍具活力和传染性，并且在物体表面可存活数天。有症状的患者是主要的传播源。有证据表明，无症状患者以及处于潜伏期的患者也可排出并传播SARS-CoV-2。使用个人防护装备可降低感染可能性。医护人员，尤其是口腔颌面外科医生，感染该病毒的风险增加。口腔颌面损伤通常累及上呼吸道消化道的重要结构，且情况紧急。在大流行期间，面部创伤手术不能延迟或推迟。本综述重点关注在当前新型冠状病毒肺炎大流行期间，外科医生在急诊科处理面部创伤患者以及对这些患者进行急诊手术时应采取的预防措施。需要制定严格有效的面部创伤管理感染控制方案，以将这种传播风险降至最低。本综述是梅尔文·杨教授在因疫情最近在新加坡以线上方式举行的第14届亚洲口腔颌面外科大会上所做讲座的一部分。
