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Significant decrease of facial cellulitis admissions during COVID-19 lockdown in France: A multicentric comparative study - 07/03/21

Doi : 10.1016/j.jormas.2021.02.001 
J.D. Kün-Darbois a, , A. Kahn a, R.H. Khonsari b, A. Gueutier a, N. Baldini a, P. Corre c, H. Bertin c, M. Provost a, d, P. Lesclous d, C.M. Ansidei e, C. Majoufre e, A. Louvrier f, C. Meyer f, H. Ammari g, A. Rougeot g, A. Moret h, D. Poisbleau i, R. Nicot j, L. Marti-Flich a, j, J. Ferri j, J.C. Lutz k, R. Prevost l, J. Kimakhe m, V. Poulet n, F. Lauwers n, A. Veyssière o, H. Bénateau o, N. Pham Dang p, I. Barthelemy p, J.M. Foletti q, C. Chossegros q, C. Queiros r, B. Laure r, A. Paré r, M. de Boutray s
a Department of Oral and Maxillo-facial surgery, Angers University Hospital, Angers, France 
b Department of Maxillo-facial and Plastic surgery, Necker-Enfants Malades University Hospital, Paris, France 
c Department of Oral and Maxillo-facial surgery, Nantes University Hospital, Nantes, France 
d Department of Oral surgery, Centre de soins dentaires, Nantes University Hospital, Nantes, France 
e Department of Maxillo-facial surgery, Bordeaux University Hospital, Bordeaux, France 
f Department of Maxillo-facial surgery, Besançon University Hospital, Besançon, France 
g Department of Maxillo-facial surgery, Félix Guyon Hospital, La Réunion University Hospital, Saint-Denis, France 
h Department of Maxillo-facial surgery and Stomatology, Aix Hospital Centre, Aix-En-Provence, France 
i Department of Maxillo-facial surgery and Plastic surgery, Grenobles University Hospital, Grenoble, France 
j Department of Oral and Maxillo-facial surgery, Lille University Hospital, Lille, France 
k Department of Maxillo-facial surgery and Stomatology, Strasbourg University Hospital, Strasbourg, France 
l Department of Maxillo-facial surgery, La Rochelle, Ré, Aunis Hospital, La Rochelle, France 
m Department of Maxillo-facial surgery and Stomatology, Vendée Hospital Centre, La Roche Sur Yon, France 
n Department of Maxillo-facial surgery, Purpan University Hospital, Toulouse, France 
o Department of Maxillo-facial and Plastic surgery, Caen University Hospital, Caen, France 
p Department of Maxillo-facial and Plastic surgery, Clermont-Ferrand University Hospital, Clermont-Ferrand, France 
q Department of Maxillo-facial surgery, Marseille University Hospital, Marseille, France 
r Department of Maxillo-facial and Plastic surgery, Tours University Hospital, Tours, France 
s Department of Maxillo-facial surgery, Gui de Chauliac University Hospital Centre, Montpellier University, Montpellier, France 

Corresponding author at: Maxillo-Facial Surgery Department, CHU d’Angers, 49933 Angers Cedex, France.Maxillo-Facial Surgery DepartmentCHU d’AngersAngers Cedex49933France

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En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Sunday 07 March 2021

Highlights

We 44% decrease in cellulitis of odontogenic origin incidence during the COVID-19 lockdown period.
The reasons to explain that are hypothetical and seem multifactorial.

El texto completo de este artículo está disponible en PDF.

Abstract

During the 2020 coronavirus pandemic, a lockdown was imposed in France during the first wave. An apparent decrease in incidence of cellulitis of odontogenic origin was noticed then. This study aimed to compare the incidence of cellulitis during this extraordinary period with the same period in 2018 and 2019, based on retrospective multicentric data. All maxillofacial surgery departments in French public hospitals were contacted. Responders were asked to include all patients admitted for the surgical drainage of a head and neck abscess of odontogenic origin during the first 2020 lockdown period, and in a similar time frame in 2018 and 2019 (control group), based on screening the French diagnostic and therapeutic classification of medical acts. We report a 44% significant nationwide decrease in the incidence of admissions for cellulitis. There were 187 patients in 2020 for 334 and 333 patients in 2018/2019 respectively. The reasons to explain this finding are hypothetical (organizational reasons leading to earlier management, patients’ fear to seek for medical management, usual excess in surgical indications or concomitant decrease of non-steroidal anti-inflammatory drugs delivery). Whatever the explanation, it would be of great interest to find it out in order to improve the prevention of cellulitis.

El texto completo de este artículo está disponible en PDF.

Keywords : Lockdown, Non-steroidal anti-inflammatory drugs, COVID-19, Cellulitis, Tooth infection, Dental infection


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