Diagnostic properties of sensitivity changes in patients with maxillofacial fractures

a systematic review

Authors

DOI:

https://doi.org/10.20396/bjos.v20i00.8661223

Keywords:

Facial injuries, Zygomatic fractures, Jaw fracture, Somatosensory disorders, Sensation disorders, Systematic reviews as topic

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. 

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Author Biographies

Esther Cunha Rodrigues, Federal University of Health Sciences of Porto Alegre

Academic of the Speech Therapy Course – Federal University of Health Sciences of Porto Alegre - UFCSPA, Porto Alegre, Brazil.

Eliana Márcia Da Ros Wendland , Federal University of Health Sciences of Porto Alegre

Department of Public Health, Federal University of Health Sciences of Porto Alegre – UFCSPA, Porto Alegre, Brazil.

Deisi Cristina Gollo Marques Vidor, Federal University of Health Sciences of Porto Alegre

Department of Speech Language Pathology, Federal University of Health Sciences of Porto Alegre – UFCSPA, Porto Alegre, Brazil.

Karoline Weber dos Santos, Conceição Hospital Group

Cristo Redentor Hospital – Conceição Hospital Group, Porto Alegre, Brazil.

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Published

2021-06-11

How to Cite

1.
Rodrigues EC, Wendland EMDR, Vidor DCGM, Santos KW dos. Diagnostic properties of sensitivity changes in patients with maxillofacial fractures: a systematic review. Braz. J. Oral Sci. [Internet]. 2021Jun.11 [cited 2021Dec.5];20(00):e211223. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8661223

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Section

Systematic Review and Meta-Analysis