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Conservative Approach for Treatment of Isolated Mandibular Fractures, the Adaptations During COVID 19 Pandemic
Daniel Sathiya Sundaram Selvaraj1, Ajish George Oommen1, D Jenifer1
1Department of Dental and Oral Surgery-Unit 2, Christian Medical College and Hospital, Vellore, Tamil Nadu India.
Background:
The ongoing COVID 19 pandemic brought about a sudden disruption to the way medical services are rendered in our country. Management of maxillofacial injuries, especially isolated mandibular fractures by surgical methods, became near impossibility because of the restrictions and other concerns related to the pandemic.
Methods:
The individuals who suffered isolated mandibular fracture because of trauma were included, to undergo conservative treatment methods with adaptations for the pandemic. Individuals with multiple bone fractures were excluded, and the selected patients were given the choice to opt out from this treatment plan. We followed a more conservative approach with adaptations, which we have discussed in this article.
Result:
The fracture healing for all the patients was as expected, and none of our team members got infected with this virus from exposure to patients.
Conclusion:
The adaptations helped in limiting the possible exposure of patients, relatives and health care providers to the virus and addressed other pressing concerns related to this pandemic. We present the guideline that we formulated in our unit, which we used to manage the patients who reported to us with isolated mandibular fractures during the ongoing pandemic.
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