Skip to main content
Top

Open Access 24-03-2024 | Facial Fracture | ORIGINAL ARTICLE

The Evolution of the Epidemiology of Facial Fractures Before, During and After the COVID-19 Pandemic

Authors: Marzia Petrocelli, Federica Ruggiero, Liliana Feraboli, Davide Allegri, Sebastiano Cutrupi, Anna Maria Baietti, Giovanni Salzano, Gianmarco Prucher, Pietro Maremonti, Luigi Angelo Vaira

Published in: Journal of Maxillofacial and Oral Surgery

Login to get access

Abstract

Objective

The purpose of this study has been to analyze retrospectively the clinical records of patients admitted to a single Maxillofacial Surgery center in Northern Italy, evaluating the epidemiological differences during the different phases of the SARS-CoV-2 pandemic.

Materials and Methods

The retrospective study included patients who had undergone surgery for facial bone fractures at the between February 23, 2020, and February 23, 2022. According to the date of admission, all the data were stratified into four chronological periods representing the four different phases of the SARS-CoV-2 pandemic in Italy in terms of restriction: pre-pandemic, first wave, partial restrictions and post-pandemic groups. Finally, any differences in epidemiological data between the groups were analyzed.

Results

A total of 155 patients were included. The causes of admission of the pre-pandemic group demonstrated a statistically significant difference compared with the first wave group, whereas there were no differences between the pre-pandemic and the other two groups. The first wave group reported statistically significant differences in terms of the fracture etiology also with the partial restrictions and post-pandemic groups.

Conclusions

During the COVID-19 pandemic, there were profound changes in the epidemiology of fractures influenced by the restrictive measures implemented by the government. At the end of the pandemic, the epidemiology of fractures returned to the same as in the pre-pandemic period.
Literature
1.
go back to reference Sbordone C, Barca I, Petrocelli M et al (2018) The influence of socioeconomic factors on the epidemiology of maxillofacial fractures in Southern Italy. J Craniofac Surg 2018(29):1049–2275 Sbordone C, Barca I, Petrocelli M et al (2018) The influence of socioeconomic factors on the epidemiology of maxillofacial fractures in Southern Italy. J Craniofac Surg 2018(29):1049–2275
2.
go back to reference Dawoud BES, Alderson L, Khan U et al (2022) The effect of lockdown during SARS-CoV-2 pandemic on maxillofacial injuries in a level I trauma centre: a comparative study. Oral Maxillofac Surg 26:463–467CrossRefPubMed Dawoud BES, Alderson L, Khan U et al (2022) The effect of lockdown during SARS-CoV-2 pandemic on maxillofacial injuries in a level I trauma centre: a comparative study. Oral Maxillofac Surg 26:463–467CrossRefPubMed
3.
go back to reference Spallaccia F, Vellone V, Colangeli W, De Tomaso S (2022) Maxillofacial fractures in the province of Terni (Umbria, Italy) in the last 11 years: impact of COVID-19 pandemic. J Craniofac Surg 33:e853–e858CrossRefPubMedPubMedCentral Spallaccia F, Vellone V, Colangeli W, De Tomaso S (2022) Maxillofacial fractures in the province of Terni (Umbria, Italy) in the last 11 years: impact of COVID-19 pandemic. J Craniofac Surg 33:e853–e858CrossRefPubMedPubMedCentral
4.
go back to reference Ludwig DC, Nelson JL, Burke AB, Lang MS, Dillon JK (2021) What is the effect of COVID-19-related social distancing on oral and maxillofacial trauma? J Oral Maxillofac Surg 79:1091–1097CrossRefPubMed Ludwig DC, Nelson JL, Burke AB, Lang MS, Dillon JK (2021) What is the effect of COVID-19-related social distancing on oral and maxillofacial trauma? J Oral Maxillofac Surg 79:1091–1097CrossRefPubMed
5.
go back to reference Salzano G, Dell’Aversana Orabona G, Audino G et al (2021) 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 32:1445–1447CrossRefPubMed Salzano G, Dell’Aversana Orabona G, Audino G et al (2021) 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 32:1445–1447CrossRefPubMed
6.
go back to reference de Boutray M, Kün-Darbois JD, Sigaux N et al (2021) Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study. Int J Oral Maxillofac Surg 50:750–755CrossRefPubMed de Boutray M, Kün-Darbois JD, Sigaux N et al (2021) Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study. Int J Oral Maxillofac Surg 50:750–755CrossRefPubMed
8.
go back to reference Pappachan B, Alexander M (2012) Biomechanics of cranio-maxillofacial trauma. J Maxillofac Oral Surg 11:224–230CrossRefPubMed Pappachan B, Alexander M (2012) Biomechanics of cranio-maxillofacial trauma. J Maxillofac Oral Surg 11:224–230CrossRefPubMed
9.
go back to reference Boffano P, Kommers SC, Karagozoglu KH, Forouzanfar T (2014) Aetiology of maxillofacial fractures: a review of published studies during the last 30 years. Br J Oral Maxillofac Surg 52:901–906CrossRefPubMed Boffano P, Kommers SC, Karagozoglu KH, Forouzanfar T (2014) Aetiology of maxillofacial fractures: a review of published studies during the last 30 years. Br J Oral Maxillofac Surg 52:901–906CrossRefPubMed
10.
go back to reference Bonavolontà P, Dell’aversana Orabona G, Abbate V, Vaira LA, Lo Faro C, Petrocelli M et al (2017) The epidemiological analysis of maxillofacial fractures in Italy: the experience of a single tertiary center with 1720 patients. J Craniomaxillofac Surg 45:1319–1326CrossRefPubMed Bonavolontà P, Dell’aversana Orabona G, Abbate V, Vaira LA, Lo Faro C, Petrocelli M et al (2017) The epidemiological analysis of maxillofacial fractures in Italy: the experience of a single tertiary center with 1720 patients. J Craniomaxillofac Surg 45:1319–1326CrossRefPubMed
11.
go back to reference Brasileiro BF, Passeri LA (2006) Epidemiological analysis of maxillofacial fractures in Brazil: a 5 year prospective study. Oral Surg Oral Med Oral Pathol Radiol Endod 102:28–34CrossRef Brasileiro BF, Passeri LA (2006) Epidemiological analysis of maxillofacial fractures in Brazil: a 5 year prospective study. Oral Surg Oral Med Oral Pathol Radiol Endod 102:28–34CrossRef
12.
go back to reference Gassner R, Tuli T, Hachi O, Rudisch A, Ulmer H (2003) Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21067 injuries. J Craniomaxillofac Surg 31:51–61CrossRefPubMed Gassner R, Tuli T, Hachi O, Rudisch A, Ulmer H (2003) Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21067 injuries. J Craniomaxillofac Surg 31:51–61CrossRefPubMed
13.
go back to reference Iida S, Kogo M, Sugiura T, Mima T, Matsuya T (2001) Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg 30:286–290CrossRefPubMed Iida S, Kogo M, Sugiura T, Mima T, Matsuya T (2001) Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg 30:286–290CrossRefPubMed
14.
go back to reference Eggensperger N, Smolka K, Scheiddegger B, Zimmermann H, Hzuka T (2007) A 3 year survey of assault—related maxillofacial fractures in central Switzerland. J Craniomaxillofac Surg 35:161–167CrossRefPubMed Eggensperger N, Smolka K, Scheiddegger B, Zimmermann H, Hzuka T (2007) A 3 year survey of assault—related maxillofacial fractures in central Switzerland. J Craniomaxillofac Surg 35:161–167CrossRefPubMed
15.
go back to reference Cornelius CP, Kunz C, Neff A, Kellman RM, Prein J, Audigè L (2014) The comprehensive AOCMF classification system: fracture case collection, diagnostic imaging work up, AOCOIAC iconography and coding. Craniomaxillofac Trauma Reconstr 7:S131-135CrossRefPubMedPubMedCentral Cornelius CP, Kunz C, Neff A, Kellman RM, Prein J, Audigè L (2014) The comprehensive AOCMF classification system: fracture case collection, diagnostic imaging work up, AOCOIAC iconography and coding. Craniomaxillofac Trauma Reconstr 7:S131-135CrossRefPubMedPubMedCentral
16.
go back to reference Dubè JP, Smith MM, Sherry SB, Hewitt PL, Stewart SH (2021) Suicide behaviors during the COVID-19 pandemic: a meta-analysis of 54 studies. Psychiatry Res 301:113998CrossRefPubMedPubMedCentral Dubè JP, Smith MM, Sherry SB, Hewitt PL, Stewart SH (2021) Suicide behaviors during the COVID-19 pandemic: a meta-analysis of 54 studies. Psychiatry Res 301:113998CrossRefPubMedPubMedCentral
Metadata
Title
The Evolution of the Epidemiology of Facial Fractures Before, During and After the COVID-19 Pandemic
Authors
Marzia Petrocelli
Federica Ruggiero
Liliana Feraboli
Davide Allegri
Sebastiano Cutrupi
Anna Maria Baietti
Giovanni Salzano
Gianmarco Prucher
Pietro Maremonti
Luigi Angelo Vaira
Publication date
24-03-2024
Publisher
Springer India
Published in
Journal of Maxillofacial and Oral Surgery
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-024-02153-0