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The impact of COVID-19 on complications and long-term outcomes in maxillofacial trauma: A retrospective multicentre analysis.

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Orofacial Infection Number Decrease during COVID-19 Pandemic.

Bronislava Dvoranová1, Michal Vavro2, Martin Selvek3

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Prague Medical Report
|September 18, 2025
PubMed
Summary

The COVID-19 pandemic significantly decreased orofacial infection admissions but increased the use of extraoral revision surgery, altering treatment trends. Admissions and surgical approaches returned towards pre-pandemic patterns by 2023.

Keywords:
COVID-19EpidemiologyOdontogenic abscessOrofacial infection

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Infectious Diseases
  • Public Health

Background:

  • Orofacial infections represent a significant clinical challenge.
  • The COVID-19 pandemic has been associated with widespread changes in healthcare utilization and treatment patterns.
  • Understanding pandemic-related impacts on specific surgical admissions is crucial for healthcare planning.

Purpose of the Study:

  • To analyze trends in hospital admissions for orofacial infections.
  • To assess the impact of the COVID-19 pandemic on admission rates and treatment modalities.
  • To compare treatment approaches during pandemic versus non-pandemic periods.

Main Methods:

  • Retrospective analysis of hospital admission data for orofacial infections.
  • Statistical comparison of admission counts and treatment proportions across different years (2014-2023).
  • Chi-square test used to determine statistical significance of observed differences.

Main Results:

  • A statistically significant decrease in orofacial infection admissions was observed in 2020 and 2021.
  • The proportion of patients treated with extraoral revision significantly increased during the COVID-19 pandemic years (73% vs. 49%).
  • Fewer patients received antibiotics alone during the pandemic compared to expected non-pandemic rates.

Conclusions:

  • The COVID-19 pandemic demonstrably influenced both the incidence of orofacial infection admissions and the surgical treatment strategies employed.
  • A notable shift towards more invasive surgical interventions like extraoral revision occurred during the pandemic.
  • Healthcare systems should anticipate and prepare for potential shifts in infection management during public health crises.