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Multicenter Study
. 2021 Jun 1;32(4):1445-1447.
doi: 10.1097/SCS.0000000000007253.

Have There Been any Changes in the Epidemiology and Etiology of Maxillofacial Trauma During the COVID-19 Pandemic? An Italian Multicenter Study

Giovanni Salzano  1 , Giovanni Dell'Aversana Orabona  1 , Giovanni Audino  1 , Luigi Angelo Vaira  2   3 , Lorenzo Trevisiol  4 , Antonio D'Agostino  4 , Resi Pucci  5 , Andrea Battisti  6 , Marco Cucurullo  7 , Cristina Ciardiello  7 , Ida Barca  8 , Maria Giulia Cristofaro  8 , Giacomo De Riu  2 , Federico Biglioli  7 , Valentino Valentini  5   6 , Pier Francesco Nocini  4 , Luigi Califano  1
Affiliations
Multicenter Study

Have There Been any Changes in the Epidemiology and Etiology of Maxillofacial Trauma During the COVID-19 Pandemic? An Italian Multicenter Study

Giovanni Salzano et al. J Craniofac Surg. .

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has had a significant impact on people's behavior. The aim of this study has been to evaluate how the SARS-CoV-2 pandemic has impacted the incidence and the features of maxillofacial fractures presented at 6 Italian tertiary centers. Clinical records of all the patients diagnosed for facial fractures between February 23 and May 23, 2019 and 2020 were retrospectively reviewed. Any differences in patient number and characteristics and fracture etiology and site between the 2 groups were then statistically analyzed.There has been a 69.1% decrease in the number of incoming patients during the pandemic. The number of foreign patients has decreased significantly (23.3% versus 9.6%, P = 0.011) while the average age has increased (38.6 versus 45.6 years old, P = 0.01). Specific statistical significant differences for accidental falls (31.8% versus 50.1%, P = 0.005) and sports injuries (16.9% versus 1.4%, P < 0.001) were found. Concerning fracture sites, significant differences have been found in relation to nasal (22.5% versus 11.4%, P = 0.009) and frontal sinus (0.9% versus 4.4%, P = 0.037) fractures. In conclusion, SARS-CoV-2 pandemic has significantly changed the epidemiology and the etiology of facial traumas.

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Conflict of interest statement

The authors report no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Etiology frequency based on sex and nationality.
See this image and copyright information in PMC

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