scholarly journals Impact of the COVID-19 pandemic on surgical procedures in Brazil: a descriptive study

2021 ◽  
Author(s):  
Bárbara Okabaiasse Luizeti ◽  
Victor Augusto Santos Perli ◽  
Gabriel Gonçalves da Costa ◽  
Igor da Conceição Eckert ◽  
Aluisio Marino Roma ◽  
...  
Keyword(s):  
Health System ◽  
Surgical Procedures ◽  
Subcutaneous Tissue ◽  
Maxillofacial Surgery ◽  
Descriptive Study ◽  
Healthcare Systems ◽  
Oral And Maxillofacial Surgery ◽  
Endocrine Gland ◽  
Upper Airways ◽  
The Impact

Abstract Background: The COVID-19 pandemic has deeply affected medical practice, and changes in healthcare activities were needed to minimize the overload and avoid healthcare systems collapse. The aim of this study was to evaluate the impact of the pandemic on surgical procedures in Brazil. Materials and Methods: We conducted a descriptive study of the number of hospitalizations for surgical procedures in Brazil from 2016 to 2020. Data were collected from the Brazilian Department of Informatics of the Unified Health System (DATASUS). Analyzes were performed according to the type of procedure, geographical region, subgroups of surgical procedures, and the number of surgeries from 2020 were compared with the average from 2016 to 2019. Results: There were 4,009,116 hospitalizations for surgical procedures in the Brazilian Public Health System in 2020. When comparing it to the average of hospitalizations from 2016-2019, there was a decrease of 14.88% [95%IC (14.82-14.93)]. Decrease rates were 34.82% [95%IC (34.73-34.90)] for elective procedures and 1.11% [95%IC (1.07-1.13)] for urgent procedures. Decrease rates were similar in all the five regions of the country (average 14.17%). Surgical procedure subgroups with the highest decrease rates were endocrine gland surgery (48.03%), breast surgery (40.68%), oral and maxillofacial surgery (37.03%), surgery of the upper airways, face, head and neck (36.06%), and minor surgeries and surgeries of skin, subcutaneous tissue and mucosa (33.16%). Conclusion: The overload of healthcare facilities has demanded a reduction of non-urgent activities to prevent a collapse of healthcare systems, resulting in a decrease in elective surgeries. Recommendations about the performance of surgical procedures were made, and continuous refinements of these recommendations are encouraged.

scholarly journals Impact of the COVID-19 pandemic on surgical procedures in Brazil: a descriptive study

2021 ◽  
Author(s):  
Barbara Okabaiasse Luizeti ◽  
Victor Augusto Santos Perli ◽  
Gabriel da Costa ◽  
Igor Eckert ◽  
Aluisio Marino Roma ◽  
...  
Keyword(s):  
Health System ◽  
Surgical Procedures ◽  
Subcutaneous Tissue ◽  
Maxillofacial Surgery ◽  
Descriptive Study ◽  
Healthcare Systems ◽  
Oral And Maxillofacial Surgery ◽  
Endocrine Gland ◽  
Upper Airways ◽  
The Impact

Background: The COVID-19 pandemic has deeply affected medical practice, and changes in healthcare activities were needed to minimize the overload and avoid healthcare systems collapse. The aim of this study was to evaluate the impact of the pandemic on surgical procedures in Brazil. Materials and Methods: We conducted a descriptive study of the number of hospitalizations for surgical procedures in Brazil from 2016 to 2020. Data were collected from the Brazilian Department of Informatics of the Unified Health System (DATASUS). Analyzes were performed according to the type of procedure, geographical region, subgroups of surgical procedures, and the number of surgeries from 2020 were compared with the average from 2016 to 2019. Results: There were 4,009,116 hospitalizations for surgical procedures in the Brazilian Public Health System in 2020. When comparing it to the average of hospitalizations from 2016-2019, there was a decrease of 14.88% [95%IC (14.82-14.93)]. Decrease rates were 34.82% [95%IC (34.73-34.90)] for elective procedures and 1.11% [95%IC (1.07-1.13)] for urgent procedures. Decrease rates were similar in all the five regions of the country (average 14.17%). Surgical procedure subgroups with the highest decrease rates were endocrine gland surgery (48.03%), breast surgery (40.68%), oral and maxillofacial surgery (37.03%), surgery of the upper airways, face, head and neck (36.06%), and minor surgeries and surgeries of skin, subcutaneous tissue and mucosa (33.16%). Conclusion: The overload of healthcare facilities has demanded a reduction of non-urgent activities to prevent a collapse of healthcare systems, resulting in a decrease in elective surgeries. Recommendations about the performance of surgical procedures were made, and continuous refinements of these recommendations are encouraged.

scholarly journals IMPACT OF THE COVID-19 PANDEMIC ON SURGICAL PROCEDURES IN BRAZIL: A DESCRIPTIVE STUDY

2021 ◽  
Vol 23 (2) ◽  
pp. 139-148
Author(s):  
Bárbara Okabaiasse Luizeti ◽  
Victor Augusto Santos Perli ◽  
Gabriel Gonçalves da Costa ◽  
Igor da Conceição Eckert ◽  
Aluisio Marino Roma ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Surgical Procedure ◽  
Maxillofacial Surgery ◽  
Descriptive Study ◽  
Endocrine Gland ◽  
Primary Analysis ◽  
Upper Airways ◽  
Geographical Regions ◽  
The Mean ◽  
The Impact

COVID-19 pandemic has deeply affected medical practice, and conducts o minimize the overload of healthcare services were necessary. The objective of this study is to evaluate the impact of the pandemic in the practice of surgical procedures in Brazil. This is a descriptive study with data about hospitalizations for surgical procedures in Brazil from 2016 to 2020, collected from the Department of Informatics of Brazil’s Unified Health System (DATASUS). Primary analysis describes the variations in the number of elective, urgent and other types of surgical procedures performed during this period, by comparing the mean number of hospitalizations from 2016 to 2019 with the absolute number from 2020. Secondary analysis describe the variations in hospitalizations for surgical procedures during this period in each of Brazil’s geographical regions, and variations in different surgical procedure subgroups. There was a decrease of 14.88% [95% CI: 14,82-14,93] in hospitalizations for surgical procedures in 2020, when comparing to the mean between 2016-2019. Decrease rates were 34.82% [95% CI: 34,73-34,90] for elective procedures and 1.11% [95% CI: 1.07-1.13] for urgent procedures. Surgical procedure subgroups with highest decrease rates were endocrine gland surgery, breast surgery, oral-maxillofacial surgery and surgery of upper airways, face, head and neck. The overload of healthcare facilities demanded reductions in non-urgent activities to prevent services’ collapse. Further studies are needed to evaluate the social and clinical impact of such reductions and support the development of precise criteria defining which procedures should be prioritized.

scholarly journals Orthognathic Surgery in a Patient with Multiple Sclerosis

2015 ◽  
Vol 16 (6) ◽  
pp. 507-511
Author(s):  
Saleh A Al-Bazie
Keyword(s):  
Multiple Sclerosis ◽  
Surgical Procedures ◽  
Orthognathic Surgery ◽  
Dental Treatment ◽  
Maxillofacial Surgery ◽  
Neurological Dysfunction ◽  
Oral And Maxillofacial Surgery ◽  
Inflammatory Disorder ◽  
Prophylactic Regimen ◽  
Acute Exacerbations

ABSTRACT Aim The aim of this paper was to report a case of orthognathic surgery successfully done in a patient with multiple sclerosis. Background Multiple sclerosis (MS) is a chronic, progressive inflammatory disorder of the central nervous system affecting young adults, characterized by lymphocytic infiltration of the brain and spinal cord leading to demyelination and focal axonal damage. Clinically, MS patients present with reversible neurological dysfunction in the early stages, which progresses to irreversible neurological disability and deficit. Oral manifestations of MS include facial numbness or pain, neuralgias, facial paralysis, dysarthria and dysphagia. While dental treatment is not contraindicated in MS patients, it is, however, limited to preventive and supportive dental care. Case description A 23-year-old Saudi male patient with a diagnosis of MS since 2008 reported to the oral and maxillofacial surgery (OMFS) department for correction of dentofacial deformity. The patient was under follow-up with the neurology department and was being treated with interferon beta-1a. Following consent from the neurologist and the patient, a Lefort 1 segmental osteotomy was done under general anesthesia. The patient was stable throughout the surgical procedure and during the postoperative period. The patient was discharged upon complete surgical recovery and no acute exacerbations of MS were reported during the perioperative period. Conclusion Based on our observations, orthognathic and maxillofacial surgical procedures can be safely carried out in patients with MS, provided a strict perioperative prophylactic regimen for stress reduction and prevention of acute attacks of MS is adhered to. Clinical significance Due to the stressful nature of dental treatment and oral and maxillofacial surgical procedures, acute exacerbations of MS are very much likely. Hence, it is imperative that dental and oral surgical practitioners are aware of the manifestations of MS and are able to manage such patients with suitable treatment modifications. How to cite this article Al-Bazie SA. Orthognathic Surgery in a Patient with Multiple Sclerosis. J Contemp Dent Pract 2015;16(6):507-511.

scholarly journals Use of Mini-anchors and Rehabilitation with 0° Cusp Angle Teeth Complete Denture in Recurrent Condylar Dislocation: Technical Adequacy and Procedure

2017 ◽  
Vol 18 (4) ◽  
pp. 337-341 ◽  
Author(s):  
Rafaella de S Leão ◽  
Edmilson Z da S Júnior ◽  
Marília GM de Alencar ◽  
Raisa Q Catunda ◽  
Sandra LD de Moraes ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Treatment Plan ◽  
Maxillofacial Surgery ◽  
Recurrent Dislocation ◽  
Complete Denture ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Movement ◽  
Technical Adequacy ◽  
Surgical Access ◽  
Tmj Dislocation

ABSTRACT Aim To report a case of association between the surgical treatment of temporomandibular dysfunction and rehabilitation with denture total prosthesis (TP) using nonanatomic teeth (cusp 0°) in patients with anterior recurrent dislocation of the temporomandibular joint (TMJ) and persistent uncontrolled mandibular movement, showing a technical adaptation and conduct. Introduction There are several treatment approaches available for dislocation of the TMJ. The use of condylar mini-anchors for recurrent TMJ dislocation is a valid option and should be considered since it does not alter the joint anatomy. In edentulous patients undergoing TMJ surgical procedures, prosthetic rehabilitation can be seen as a means of treatment preservation. Case report A 73-year-old female patient attended the oral and maxillofacial surgery clinic presenting with joint instability, ligament laxity, and chronic recurrent TMJ dislocations. She had already been through three previous unsuccessful surgical procedures. A treatment plan was done based on the installation of a mini-anchor in the patient's TMJ through the preauricular surgical access. Dislocations were then resolved, but the lack of mandibular control even to a lesser extent after surgery precluded the use of prosthetics even at rest. Thus, it was planned to manufacture two conventional TPs with 0° cusp angle teeth, a clinical protocol shortened to three sessions in an attempt to improve the stability of the prosthesis. Conclusion The use of an individual mini-anchor is simple and effective, and the use of artificial teeth is well suited to the case. Clinical significance A multidisciplinary intervention (surgery/ prosthesis) is of utmost importance for the resolution and preservation of the treatment of these complex cases. How to cite this article de S Leão R, da S Júnior EZ, de Alencar MGM, Catunda RQ, de Moraes SLD, do E Vasconcelos BC. Use of Mini-anchors and Rehabilitation with 0° Cusp Angle Teeth Complete Denture in Recurrent Condylar Dislocation: Technical Adequacy and Procedure. J Contemp Dent Pract 2017;18(4):337-341.

scholarly journals Maxillofacial tumors and tumor-like lesions : a retrospective analysis

2018 ◽  
Vol 8 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Md Amirul Islam ◽  
M Ahmed Hossain ◽  
Sabrina Binte Rahman ◽  
Md Ali Kawser ◽  
Md Shamsur Rahman
Keyword(s):  
Dentigerous Cyst ◽  
Maxillofacial Surgery ◽  
Descriptive Study ◽  
Oral And Maxillofacial Surgery ◽  
Malignant Tumours ◽  
Cross Sectional ◽  
Female Ratio ◽  
Odontogenic Tumours ◽  
Benign Tumours ◽  
Tumor Like Lesions

Background: This paper reviews the types, prevalence and demographic distribution of maxillofacial tumors, cysts and tumor-like lesions in a Bangladeshiteaching Hospital.An observational descriptive study (January’ 2014 to December’ 2016) was performed at Oral and Maxillofacial Surgery depart- ment, Dental Unit,TMSS Medical College and Hospital. This study presents 55 cases of maxillofacial tumour & tumour like lesions collected over 3 years at a tertiary oral care centre in Bogra, Bangla- desh.Objectives:To find out the distribution & pattern of maxillofacial tumours and to find out the age, sex, site, clinical presentation and thehistological types of these tumors Method: A cross sectional descriptive study where the Histopathological types of the maxillofacial tumours were analyzed to indicate the numbers that occurred and also the pattern of occurrence according to age, gender, site and clinical presentation.Result: There were 55 maxillofacial tumour & tumour like lesions of which 44 (80.01%) were Benign tumours & 11 (19.81%) were malignant tumours. Among Eighteen histo- pathologic types were found of which Squamous cell carcinoma (18.18%), Ameloblastoma (16.36%), Odontogenic keratocystic tumour (10.90%), Dentigerous cyst (7.27%)& Radicular cyst (7.27%) were predominant. The male to female ratio was 1.29:1. Patients were between 10 years and 72 years with most patients (27.27%) in 51 to 60 years of life. Case presented with symptoms such as swelling (41.96%), pain (28.82%) and loosetooth (17.12%).Conclusion: Both malignant and benign tumours are seen. In the present study, SCC and ameloblastoma were the commonest malignant and benign odontogenic tumours seen respectively; the two representing more than 34.54% of all tumors.Tumour & tumour like lesions of the oral & maxillofacial region with late presentation still remains the main challenging factor in the early detection & management. Surgery was the main modality used for treat- ment while some patients had no treatment due to self discharge and late presentation.Update Dent. Coll. j: 2018; 8 (1): 22-28

Bismuth Iodoform Paraffin Paste: History, Uses and Alternatives in Oral and Maxillofacial Surgery

Dental Update ◽  
2021 ◽  
Vol 48 (3) ◽  
pp. 207-211
Author(s):  
Gurpreet Kaur Randhawa ◽  
Richard M Graham ◽  
Karanveer Singh Matharu
Keyword(s):  
Side Effects ◽  
Surgical Procedures ◽  
Clinical Relevance ◽  
Wound Dressing ◽  
Adverse Reactions ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Ent Surgery ◽  
Present Information ◽  
Background History

Bismuth iodoform paraffin paste (BIPP) continues to be widely used in dental/oral and maxillofacial/ENT surgery for surgical cavity packing and wound dressing where pressure, antisepsis and haemostasis is required. We present information on its history and uses, including historical use, constituents, uses in surgery, risks and considerations for deciding on its use. Although side effects and adverse reactions have been reported, these are rare. CPD/Clinical Relevance: BIPP is commonly used in surgical procedures and an appreciation of its background, history, uses and side effects are important as well as an understanding of its alternatives.

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