Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
COVID-19 Pandemisinde Elektif Ağız, Diş ve Çene Cerrahisi Uygulamaları: Tek Merkezli Retrospektif Çalışma
Elective Oral and Maxillofacial Surgery in COVID-19 Pandemic: A Retrospective Single-Center Study
Seçil ÇUBUKa, Burak BAYRAMa
aBaşkent Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi ABD, Ankara, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(2):266-72
doi: 10.5336/dentalsci.2021-84960
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] pandemisinde elektif ağız, diş ve çene cerrahisi uygulamalarının güvenilirliğinin retrospektif olarak değerlendirilmesidir. Gereç ve Yöntemler: Bu çalışmaya 1 Haziran 2020-1 Mayıs 2021 tarihleri arasında ağız, diş ve çene cerrahisi işlemleri uygulanmış hastalar dâhil edilmiştir. Hastalara cerrahi işlemden 24- 72 saat önce COVID-19 testi uygulanmış ve test sonucu negatif olan hastalar opere edilmiştir. Cerrahi ekip üyeleri, COVID-19 semptomları bakımından izlenmiştir. COVID-19 pozitif olduğu belirlenen bir hasta ile teması olan sağlık çalışanına temastan sonraki 7. günde COVID-19 testi uygulanmıştır. Demografik veriler, operasyon tipi, hastaların preoperatif ve postoperatif 30 günlük COVID-19 durumları, ameliyat ekip üyelerinin COVID-19 durumları, operasyon süresi, yatış süresi ve komplikasyonlar incelenmiştir. Bulgular: Bu çalışmaya toplam 57 hasta dâhil edilmiştir. Hastaların ortalama yaşı 25+9 yıl (14-70 yıl) olup, en sık uygulanan operasyon ortognatik cerrahi (n=35, %61) olmuştur. Hastaların, hastanede yatış sürelerinin medyanı 2 gündür (0-6 gün). Bir hastada postoperatif kanama görülmüştür ve bu hasta kanama kontrolü için tekrar ameliyathaneye alınmıştır. Üç hastanın operasyonu, hastaların preoperatif test sonuçları pozitif olduğu için ertelenmiştir. Bir hastanın COVID-19 pozitif olduğu hastaya operasyondan hemen sonra uygulanan test ile belirlenmiştir. Bu hasta dışında hiçbir hastada postoperatif 30 günlük süreçte COVID-19 görülmemiştir. Çalışma süresince, ameliyat ekip üyelerinden hiçbirinde COVID-19 görülmemiştir. Sonuç: Preoperatif olarak uygulanan test sonucunun yanlış negatif olması nedeniyle COVID-19 pozitif olan bir hasta opere edilmiştir. Ameliyat ekibinde yer alan hekimlerden hiçbirine COVID-19 pozitif tanısı konulmamıştır. Pandemi süresince, uygulamış olduğumuz korunma protokolü doğrultusunda elektif ağız, diş ve çene cerrahisi işlemleri güvenli bir şekilde tamamlanmıştır.

Anahtar Kelimeler: COVID-19; oral cerrahi işlemleri; koronavirüs
ABSTRACT
 Objective: The aim of this study is to retrospectively evaluate the reliability of elective oral and maxillofacial surgery procedures during the coronavirus disease-2019 (COVID-19) pandemic. Material and Methods: The patients who underwent oral and maxillofacial surgery between 1 June 2020 and 1 May 2021 were included in this study. Negative COVID-19 testing was mandatory 24-72 hours prior to the admission. All staff members were monitored for the symptoms of COVID-19. The staff members who had contact with a person with COVID-19 tested at the 7th day after the exposure. Demographic data, type of operation, preoperative and postoperative 30-day COVID19 status of the patients, COVID-19 status of staff members, duration of operation, duration of stay, and complications were analyzed. Results: A total of 57 patients were included in this study. The mean age was 25+ 9 years (14-70 years). Orthognathic surgery (n=35, 61%) was the most common operation. Median duration of stay in the hospital was 2 days (range 0-6). A patient who developed hemorrhage returned to the operation room for bleeding control. Three patients tested positive preoperatively and their operations were postponed. One patient tested positive immediately after the surgery. COVID-19 infection was not seen in other patients within the 30-day postoperative period. None of the staff members tested positive during the study. Conclusion: Due to the false negative testing, one COVID-19 positive patient underwent elective maxillofacial surgery. COVID-19 infection was not diagnosed in any members from the surgical teams. Elective oral and maxillofacial procedures were safely performed adopting our protective protocol during the pandemic.

Keywords: COVID-19; oral surgical procedures; coronavirus
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