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Diagnostic properties of sensitivity changes in patients with maxillofacial fractures: a systematic review
Rodrigues, Esther Cunha; Wendland, Eliana Márcia Da Ros; Vidor, Deisi Cristina Gollo Marques; Santos, Karoline Weber dos.
  • Rodrigues, Esther Cunha; Federal University of Health Sciences of Porto Alegre. Academic of the Speech Therapy Course. Porto Alegre. BR
  • Wendland, Eliana Márcia Da Ros; Federal University of Health Sciences of Porto Alegre. Department of Public Health. Porto Alegre. BR
  • Vidor, Deisi Cristina Gollo Marques; Federal University of Health Sciences of Porto Alegre. Department of Speech-language pathology. Porto Alegre. BR
  • Santos, Karoline Weber dos; Cristo Redentor Hospital. Conceição Hospital Group. Porto Alegre. BR
Braz. j. oral sci ; 20: e211223, jan.-dez. 2021. ilus
Article in English | BBO, LILACS | ID: biblio-1254623
ABSTRACT

Aim:

Verify the accuracy of objective assessments compared to subjective tests in detecting changes in somatosensory perception in individuals affected by maxillofacial trauma.

Methods:

The review (PROSPERO n ° CRD42019125546) used the databases MEDLINE, Cochrane, EMBASE, LILACS and other bibliographic resources. Prospective and retrospective studies that used objective and subjective methods of assessing facial sensitivity in maxillofacial fractures were included. There was no restriction on language or publication date. Risk of bias was assessed using the QUADAS-2. Data extraction and analysis were performed using a form developed for the study.

Results:

21 studies were included. The clinical objective examination mainly includes assessments of tactile sensitivity (95.24%) and nociceptive sensitivity (57.14%). The subjective assessment was based on the patient's report, spontaneously (61.90%), guided by structured questionnaires (33.33%) and/or using scales (9.52%) to measure the degree of impairment. In risk of bias assessment, were observed no adequate interpretation and classification of changes in subjective sensitivity, subject to inappropriate analysis of the data. In addition, the studies bring several instruments without standardization for assessing sensory modalities.

Conclusion:

The objective assessment is a complement to the subjective assessment, using the touch assessment as the main parameter in the profile of the facial peripheral integrity, associated or not with nociceptive assessment. Lack of consensus on the indication of specific instruments for testing is a limiting factor. Thus, based on the studies, is proposed a minimum battery of sensitivity assessment to obtain an overview of the patient's peripheral nervous situation
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Zygomatic Fractures / Sensation Disorders / Somatosensory Disorders / Facial Injuries / Systematic Reviews as Topic / Jaw Fractures Type of study: Diagnostic study / Observational study / Qualitative research / Risk factors / Systematic reviews Language: English Journal: Braz. j. oral sci Journal subject: Dentistry Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: Cristo Redentor Hospital/BR / Federal University of Health Sciences of Porto Alegre/BR

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Full text: Available Index: LILACS (Americas) Main subject: Zygomatic Fractures / Sensation Disorders / Somatosensory Disorders / Facial Injuries / Systematic Reviews as Topic / Jaw Fractures Type of study: Diagnostic study / Observational study / Qualitative research / Risk factors / Systematic reviews Language: English Journal: Braz. j. oral sci Journal subject: Dentistry Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: Cristo Redentor Hospital/BR / Federal University of Health Sciences of Porto Alegre/BR