Facial Trauma Management During the Coronavirus Disease 2019 Pandemic : Journal of Craniofacial Surgery

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Facial Trauma Management During the Coronavirus Disease 2019 Pandemic

Gourishetti, Saikrishna C. MD; Waghmarae, Suneet BS; Shikara, Meryam MD; Justicz, Natalie MD; Vakharia, Kalpesh MD

Author Information
The Journal of Craniofacial Surgery 34(3):p 955-958, May 2023. | DOI: 10.1097/SCS.0000000000009177



Facial trauma is managed with open or closed treatment modalities; however, the impact of the coronavirus disease 2019 (COVID-19) pandemic on facial trauma management remains unclear.


To determine whether the management of facial trauma varied during the COVID-19 pandemic.

Design Setting, Participants: 

A retrospective review of 127 adults at The R Adams Cowley Shock Trauma Center at the University of Maryland between March 2019 and March 2021. Adults were stratified into pre-COVID (before March 2020) and post-COVID groups.

Main Outcomes and Measures: 

Open reduction internal fixation alone, maxillomandibular fixation (MMF) alone, Open reduction internal fixation and MMF, and closed reduction.


Of the 127 patients, 66 were treated pre-COVID (52%) and 61 post-COVID (48%). While the prevalence of mandible fractures did not differ (pre-COVID, n = 39, 59%; post-COVID, n = 42, 69%; P = 0.33), the use of MMF alone decreased (pre-COVID, n = 9, 23%; post-COVID, n = 1, 2%; P = 0.005). In contrast, while the prevalence of displaced nasal bone fractures decreased (pre-COVID, n = 21, 32%; post-COVID, n = 4, 7%; P = 0.0007), management with closed reduction did not differ (pre-COVID, n = 23, 96%; post-COVID, n = 11, 85%; P = 0.27).

Conclusions and Relevance: 

Although the clinical characteristics of patients with facial fractures did not differ during the COVID-19 pandemic, the use of MMF for mandible fractures changed significantly.

Level of Evidence: 

Level IV.

Copyright © 2023 by Mutaz B. Habal, MD

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