Maxillofacial traumas can be accompanied by other traumas, while it can be presented in isolation. In patients with pure trauma, maxillofacial surgery is directly related to the risk of high COVID-19 (SARS-CoV-2) transmission, and the decision of surgery during the pandemic process should be given carefully. In the pandemic process, only performing actual maxillofacial emergency surgeries and postponing elective surgeries would reduce the likelihood for both the patient and medical personnel to be infected with this directly aerosol-transmitted agent. In this period when we are facing a global problem, it is important to protect health care personnel from this factor as well as patients.
Acknowledgments: I would like to thank Assoc. Prof.Dr. Elif Demirel for her help with the proofreading of my manuscript.
Kaynakça
Zimmermann M, Nkenke E. Approaches to the Management of Patients in Oral and Maxillofacial Surgery During COVID-19 Pandemic. J Craniomaxillofac Surg.2020 May;48(5):521-26.
Edwards SP, Kasten S, Nelson C, Elner V, McKean E. Maxillofacial Trauma Management During COVID-19: Multidisciplinary Recommendations. Facial Plast Surg Aesthet Med. May/Jun 2020;22(3):157-59.
DeAngelis AF, Barrowman RA, Harrod R, Nastri AL. Review article: Maxillofacial emergencies: Maxillofacial trauma. Emerg Med Australas. 2014 Dec;26(6):530-37.
Coccolini F, Perrone G, Chiarugi M, et al. Surgery in COVID-19 patients: Operational Directives. Version 2. World J Emerg Surg. 2020 Apr 7;15(1):25.
Kowalski LP, Sanabria A, Ridge JA, et al. COVID-19 pandemic: Effects and evidence-based recommendations for otolaryngology and head and neck surgery practice. Head Neck. 2020 Jun;42(6):1259-67.
Eggers M, Koburger-Janssen T, Eickmann M, Zorn J. In vitro bactericidal and virucidal efficacy of povidone-iodine gargle/mouthwash against respiratory and oral tract pathogens. Infect Dis Ther. 2018 ;7:249–59.
COVID 19 salgınında, maksillofasyal travmalı hastaların triajı ve ameliyat stratejileri için öneriler
Maksillofasyal travmalar, başka travmalara eşlik edebileceği gibi, tek başına da prezente olabilir. Salt travması olan hastalarda, maksillofasiyal cerrahi, yüksek COVID-19 (SARS-CoV-2) bulaşma riski ile direkt olarak ilişkili olup, pandemi sürecinde ameliyat kararı, dikkatli bir şekilde verilmelidir. Pandemi sürecinde sadece, gerçek maksillofasyal acil ameliyatlarının alınıp, elektif ameliyatların ertelenmesi, hem hastanın hem de sağlık personellerinin direkt aerosol ile bulaşan bu etken ile enfekte olma olasılığını azaltacaktır. Global bir sorun ile karşı karşıya kaldığımız bu dönemde, hastaları olduğu kadar, sağlık personelini de bu etkenden korumak önemlidir.
Zimmermann M, Nkenke E. Approaches to the Management of Patients in Oral and Maxillofacial Surgery During COVID-19 Pandemic. J Craniomaxillofac Surg.2020 May;48(5):521-26.
Edwards SP, Kasten S, Nelson C, Elner V, McKean E. Maxillofacial Trauma Management During COVID-19: Multidisciplinary Recommendations. Facial Plast Surg Aesthet Med. May/Jun 2020;22(3):157-59.
DeAngelis AF, Barrowman RA, Harrod R, Nastri AL. Review article: Maxillofacial emergencies: Maxillofacial trauma. Emerg Med Australas. 2014 Dec;26(6):530-37.
Coccolini F, Perrone G, Chiarugi M, et al. Surgery in COVID-19 patients: Operational Directives. Version 2. World J Emerg Surg. 2020 Apr 7;15(1):25.
Kowalski LP, Sanabria A, Ridge JA, et al. COVID-19 pandemic: Effects and evidence-based recommendations for otolaryngology and head and neck surgery practice. Head Neck. 2020 Jun;42(6):1259-67.
Eggers M, Koburger-Janssen T, Eickmann M, Zorn J. In vitro bactericidal and virucidal efficacy of povidone-iodine gargle/mouthwash against respiratory and oral tract pathogens. Infect Dis Ther. 2018 ;7:249–59.