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How has COVID-19 affected surgical practice in Oral and Maxillofacial Surgery in the East Midlands, UK?
Surgeon. 2021 Oct; 19(5):e276-e280.S

Abstract

The impact on the provision of care within the NHS due to COVID-19 can not be understated. It has created various challenges for Oral and Maxillofacial Surgeons due to the high-risk nature of working within this specialty. The aims of this study were to identify the ongoing clinical activities at the height of pandemic, the guidance issued to staff regarding the use of personal protective equipment and the changes to maxillofacial practice. A prospective analysis was commenced within six Oral and Maxillofacial Surgery units in the East Midlands, UK with data being collected by means of a 10-item questionnaire relating to changes in patient care during this time. The responses were analysed to identify compliance with the national guidance produced by the British Association of Oral and Maxillofacial Surgeons. An 87% response rate was obtained (26 respondents from 30 invitations). 73.1% of participants confirmed all surgical members of staff were offered fit tests for FFP3 masks. All units reported a continuation of Head and Neck cancer and emergency operations with a complete reduction in TMJ and orthognathic surgery. FFP3 masks were the most popular masks used for theatre activity whilst FFP2 and surgical masks were more widely used for examining patients and performing procedures in the emergency department. Changes in maxillofacial practice included the use of local flaps compared to free flaps, use of intermaxillary fixation (IMF) where appropriate for craniofacial trauma and routine COVID-19 testing for all inpatients.

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Authors+Show Affiliations

Ahmed A
Department of Oral and Maxillofacial Surgery, Nottingham University Hospital, Derby Road, Nottingham, NG7 2UH, United Kingdom. Electronic address: asad.ahmed@nhs.net.
Evans K
Department of Oral and Maxillofacial Surgery, Nottingham University Hospital, Derby Road, Nottingham, NG7 2UH, United Kingdom. Electronic address: kate.evans14@nhs.net.
Rajapakse S
Department of Oral and Maxillofacial Surgery, Nottingham University Hospital, Derby Road, Nottingham, NG7 2UH, United Kingdom. Electronic address: sujeev.rajapakse@nhs.net.

MeSH

COVID-19HumansInfection ControlOral Surgical ProceduresPersonal Protective EquipmentPractice Patterns, Physicians'Surgery, OralSurveys and QuestionnairesUnited Kingdom

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33558142

Citation

Ahmed, Asad, et al. "How Has COVID-19 Affected Surgical Practice in Oral and Maxillofacial Surgery in the East Midlands, UK?" The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, vol. 19, no. 5, 2021, pp. e276-e280.
Ahmed A, Evans K, Rajapakse S. How has COVID-19 affected surgical practice in Oral and Maxillofacial Surgery in the East Midlands, UK? Surgeon. 2021;19(5):e276-e280.
Ahmed, A., Evans, K., & Rajapakse, S. (2021). How has COVID-19 affected surgical practice in Oral and Maxillofacial Surgery in the East Midlands, UK? The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 19(5), e276-e280. https://doi.org/10.1016/j.surge.2020.12.010
Ahmed A, Evans K, Rajapakse S. How Has COVID-19 Affected Surgical Practice in Oral and Maxillofacial Surgery in the East Midlands, UK. Surgeon. 2021;19(5):e276-e280. PubMed PMID: 33558142.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - How has COVID-19 affected surgical practice in Oral and Maxillofacial Surgery in the East Midlands, UK? AU - Ahmed,Asad, AU - Evans,Kate, AU - Rajapakse,Sujeev, Y1 - 2021/01/22/ PY - 2020/08/13/received PY - 2020/11/21/revised PY - 2020/12/25/accepted PY - 2021/2/10/pubmed PY - 2021/10/1/medline PY - 2021/2/9/entrez KW - COVID-19 KW - Coronavirus KW - East midlands KW - Maxillofacial KW - OMFS KW - Oncology KW - PPE KW - Personal protective equipment KW - Surgical practice SP - e276 EP - e280 JF - The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland JO - Surgeon VL - 19 IS - 5 N2 - The impact on the provision of care within the NHS due to COVID-19 can not be understated. It has created various challenges for Oral and Maxillofacial Surgeons due to the high-risk nature of working within this specialty. The aims of this study were to identify the ongoing clinical activities at the height of pandemic, the guidance issued to staff regarding the use of personal protective equipment and the changes to maxillofacial practice. A prospective analysis was commenced within six Oral and Maxillofacial Surgery units in the East Midlands, UK with data being collected by means of a 10-item questionnaire relating to changes in patient care during this time. The responses were analysed to identify compliance with the national guidance produced by the British Association of Oral and Maxillofacial Surgeons. An 87% response rate was obtained (26 respondents from 30 invitations). 73.1% of participants confirmed all surgical members of staff were offered fit tests for FFP3 masks. All units reported a continuation of Head and Neck cancer and emergency operations with a complete reduction in TMJ and orthognathic surgery. FFP3 masks were the most popular masks used for theatre activity whilst FFP2 and surgical masks were more widely used for examining patients and performing procedures in the emergency department. Changes in maxillofacial practice included the use of local flaps compared to free flaps, use of intermaxillary fixation (IMF) where appropriate for craniofacial trauma and routine COVID-19 testing for all inpatients. SN - 1479-666X UR - https://www.unboundmedicine.com/medline/citation/33558142/How_has_COVID_19_affected_surgical_practice_in_Oral_and_Maxillofacial_Surgery_in_the_East_Midlands_UK DB - PRIME DP - Unbound Medicine ER -