Timing of oral and maxillofacial surgery in infected COVID-19 subjects: A retrospective cohort study.

J Craniomaxillofac Surg

Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, China. Electronic address:

Published: October 2024

AI Article Synopsis

  • The study examines the link between the timing of oral and maxillofacial surgery after Covid-19 infection and the risk of complications in patients from China.
  • Among 1,342 patients who underwent surgery, only 0.37% experienced post-operative complications after mild Omicron infection, while no complications were seen in control patients.
  • The results indicate that delaying surgery for 4 to 6 weeks after infection may reduce the risk of complications, suggesting a protective effect from this waiting period.

Article Abstract

This study aims to investigate the association of time to oral and maxillofacial surgery after Covid-19 infection with the risk of postoperative complications in a population from China. In the current study, a total of 1342 consecutive patients underwent general anesthesia (GA) in the maxillofacial district of the Chinese Oral and Maxillofacial COVID Collaborative, which consists of 27 teaching hospitals. Pulmonary, cardiovascular and thrombotic complications were monitored for 1 month after GA surgery (GAS) and their incidence was reported for the first 30 days. Post-operative complications were observed in 4 of 1076 cases (0.37%) who had suffered from mild Omicron infection and in none of the controls. Results from the Quasi-Poisson multivariate regression models showed that Omicron infection was not associated with increased post-operative complications compared to controls. Among the infected patients, delays of >4 but not >6 weeks were associated with lower OR of complications (0.08, 95% CI 0.01-0.78 and 0.06, 95% CI 0.01-1.80, respectively). Findings of this study suggest that delaying surgery for a period of 4-6 weeks following infection can provide a protective effect.

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Source
http://dx.doi.org/10.1016/j.jcms.2024.06.008DOI Listing

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