<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1130-0558</journal-id>
<journal-title><![CDATA[Revista Española de Cirugía Oral y Maxilofacial]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Esp Cirug Oral y Maxilofac]]></abbrev-journal-title>
<issn>1130-0558</issn>
<publisher>
<publisher-name><![CDATA[ Sociedad Española de Cirugía Oral y Maxilofacial y de Cabeza y Cuello]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1130-05582022000200002</article-id>
<article-id pub-id-type="doi">10.20986/recom.2022.1324/2021</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Revisión sistemática de exactitud diagnóstica de la ultrasonografía en el trauma maxilofacial]]></article-title>
<article-title xml:lang="en"><![CDATA[A systematic review of ultrasound diagnostic accuracy in maxillofacial trauma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosa-Valencia]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas-Cuéllar]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teuber-Lobos]]></surname>
<given-names><![CDATA[Cristian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Basaure]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Goñi-Espíldora]]></surname>
<given-names><![CDATA[Ignacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Skinner]]></surname>
<given-names><![CDATA[Hernán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Católica de Chile Departamento de Cirugía Oncológica y Maxilofacial ]]></institution>
<addr-line><![CDATA[Santiago ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Chile Facultad de Odontología Instituto de Investigación en Ciencias Odontológicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Pontificia Universidad Católica de Chile Facultad de Medicina Sección de Medicina de Urgencia]]></institution>
<addr-line><![CDATA[Santiago ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>56</fpage>
<lpage>62</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1130-05582022000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1130-05582022000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1130-05582022000200002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Esta revisión sistemática evaluó el rendimiento de la ultrasonografía (US) en el trauma maxilofacial. Dos investigadores independientes realizaron una búsqueda sistemática de artículos sobre US que evaluaron el diagnóstico de fracturas y/o traumatismos maxilofaciales. Se encontraron doce artículos entre los años 2010 y 2022. Cuatro artículos revisaron fracturas de los huesos nasales, cinco artículos fracturas del complejo cigomático, dos artículos fracturas orbitarias, tres artículos fracturas mandibulares y un artículo el hematoma retrobulbar, considerando que un artículo puede revisar más de un tipo de fractura. Todos los estudios fueron de cohortes retrospectivas o prospectivas. Los valores de sensibilidad y especificidad, informados en rangos de mayor y menor sensibilidad y especificidad en todos los estudios incluidos fueron, respectivamente, del 88-100 % y 88-100 % para las fracturas de los huesos nasales, del 88-100 % y 87-100 % para el arco cigomático, del 88-100 % y 100 % para el reborde infraorbitario, del 87 % y 100 % para el piso de la órbita, del 80-100 % y 100 % para la mandíbula y del 95,7 % y 99,7 % para el hematoma retrobulbar. Con cierto riesgo de sesgo en su aplicabilidad según la herramienta QUADAS-2, la US tiene un buen rendimiento en el diagnóstico de las fracturas faciales. Aunque la US no reemplaza a la TC, es útil en el punto de atención para optimizar las decisiones clínicas, siendo especialmente de ayuda en el trauma facial, el trauma nasal aislado y en grupos radiosensibles como niños y mujeres embarazadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT This systematic review assessed the performance of ultrasonography (US) in maxillofacial trauma. A systematic search was performed by two independent researchers for articles on US for diagnosing maxillofacial fractures and/or trauma. Twelve articles were found between 2010 and 2022. Four articles reviewed nasal bone fractures, five articles zygomatic complex fractures, two articles orbital fractures, three articles mandibular fractures, and one article retrobulbar hematoma, considering that an article can review more than one type of fracture. All studies were retrospective or prospective cohorts. Sensitivity and specificity values, reported in ranges of highest and lowest sensitivity and specificity in all included studies, respectively, were 88-100 % and 88-100 % for nasal bone fractures, 88-100 % and 87-100 % for zygomatic arch, 88-100 % and 100 % for the infraorbital rim, 87 % and 100 % for the orbital floor, 80-100 % and 100 % for the mandible, and 95.7 % and 99.7 % for retrobulbar hematoma. With a certain risk of bias in its applicability according to the QUADAS-2 tool, US has a good performance in the diagnosis of facial fractures. Although US does not replace CT, it is useful at the point of care to optimize clinical decisions, being especially helpful in facial trauma, isolated nasal trauma, and in radiosensitive groups such as children and pregnant women.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trauma maxilofacial]]></kwd>
<kwd lng="es"><![CDATA[ultrasonido]]></kwd>
<kwd lng="es"><![CDATA[ultrasonografía]]></kwd>
<kwd lng="es"><![CDATA[fracturas maxilofaciales]]></kwd>
<kwd lng="en"><![CDATA[Maxillofacial trauma]]></kwd>
<kwd lng="en"><![CDATA[ultrasound]]></kwd>
<kwd lng="en"><![CDATA[ultrasonography]]></kwd>
<kwd lng="en"><![CDATA[maxillofacial fractures]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[SB]]></given-names>
</name>
<name>
<surname><![CDATA[Mahabob]]></surname>
<given-names><![CDATA[MN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ultrasound in dentistry - a review]]></article-title>
<source><![CDATA[J Ind Aca Dent Spec]]></source>
<year>2010</year>
<volume>1</volume>
<page-range>44-5</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abu Zidan]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Hefny]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
<name>
<surname><![CDATA[Corr]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical ultrasound physics]]></article-title>
<source><![CDATA[J Emerg Trauma Shock]]></source>
<year>2011</year>
<volume>4</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>501-3</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ryba]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[George]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Point-of-care ultrasound for oral and maxillofacial surgeons]]></article-title>
<source><![CDATA[Br J Oral Maxillofac Surg]]></source>
<year>2017</year>
<volume>55</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>600-3</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Adeyemo]]></surname>
<given-names><![CDATA[WL]]></given-names>
</name>
<name>
<surname><![CDATA[Akadiri]]></surname>
<given-names><![CDATA[OA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A systematic review of the diagnostic role of ultrasonography in maxillofacial fractures]]></article-title>
<source><![CDATA[Int J Oral Maxillofac Surg]]></source>
<year>2011</year>
<volume>40</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>655-61</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<collab>ATLS Subcommittee</collab>
<collab>American College of Surgeons' Committee on Trauma</collab>
<collab>International ATLS working group</collab>
<article-title xml:lang=""><![CDATA[Advanced trauma life support (ATLS®): the ninth edition]]></article-title>
<source><![CDATA[J Trauma Acute Care Surg]]></source>
<year>2013</year>
<volume>74</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1363-6</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ciapponi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[QUADAS-2: instrumento para la evaluación de la calidad de estudios de precisión diagnóstica]]></article-title>
<source><![CDATA[Evid Act Pract Ambul]]></source>
<year>2015</year>
<volume>18</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>22-30</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Menon]]></surname>
<given-names><![CDATA[RP]]></given-names>
</name>
<name>
<surname><![CDATA[Chowdhury]]></surname>
<given-names><![CDATA[SK]]></given-names>
</name>
<name>
<surname><![CDATA[Semi]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Gupta]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Rahman]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Balasundaram]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of ultrasonography with conventional radiography in the diagnosis of zygomatic complex fractures]]></article-title>
<source><![CDATA[J Craniomaxillofac Surg]]></source>
<year>2016</year>
<volume>44</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>353-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Johari]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ghavimi]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Mahmoudian]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Javadrashid]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mirakhor Samani]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Fouladi]]></surname>
<given-names><![CDATA[DF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A comparable study of the diagnostic performance of orbital ultrasonography and CBCT in patients with suspected orbital floor fractures]]></article-title>
<source><![CDATA[Dentomaxillofac Radiol]]></source>
<year>2016</year>
<volume>45</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rajeev]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pai]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
<name>
<surname><![CDATA[Smriti]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Kadavigere]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Kamath]]></surname>
<given-names><![CDATA[AT]]></given-names>
</name>
<name>
<surname><![CDATA[Gadicherla]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnostic Accuracy of Ultrasonography in the Assessment of Facial Fractures]]></article-title>
<source><![CDATA[Pesqui Bras Odontopediatria Clín Integr]]></source>
<year>2019</year>
<volume>19</volume>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ojaghihaghighi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Lombardi]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Vahdati]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Sorkhabi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Pourmand]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnosis of Traumatic Eye Injuries With Point-of-Care Ocular Ultrasonography in the Emergency Department]]></article-title>
<source><![CDATA[Ann Emerg Med]]></source>
<year>2019</year>
<volume>74</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>365-71</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
<name>
<surname><![CDATA[Jayachandran]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A comparative study on the diagnostic utility of ultrasonography with conventional radiography and computed tomography scan in detection of zygomatic arch and mandibular fractures]]></article-title>
<source><![CDATA[Contemp Clin Dent]]></source>
<year>2014</year>
<volume>5</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>166-9</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ogunmuyiwa]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Fatusi]]></surname>
<given-names><![CDATA[OA]]></given-names>
</name>
<name>
<surname><![CDATA[Ugboko]]></surname>
<given-names><![CDATA[VI]]></given-names>
</name>
<name>
<surname><![CDATA[Ayoola]]></surname>
<given-names><![CDATA[OO]]></given-names>
</name>
<name>
<surname><![CDATA[Maaji]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The validity of ultrasonography in the diagnosis of zygomaticomaxillary complex fractures]]></article-title>
<source><![CDATA[Int J Oral Maxillofac Surg]]></source>
<year>2012</year>
<volume>41</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>500-5</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lou]]></surname>
<given-names><![CDATA[YT]]></given-names>
</name>
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[HL]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[WC]]></given-names>
</name>
<name>
<surname><![CDATA[Kuo]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Cheng]]></surname>
<given-names><![CDATA[YC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conductor-assisted nasal sonography: An innovative technique for rapid and accurate detection of nasal bone fracture]]></article-title>
<source><![CDATA[J Trauma Acute Care Surg]]></source>
<year>2012</year>
<volume>72</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>306-11</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mohammadi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ghasemi-Rad]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nasal bone fracture--ultrasonography or computed tomography]]></article-title>
<source><![CDATA[Med Ultrason]]></source>
<year>2011</year>
<volume>13</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>292-5</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Javadrashid]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Khatoonabad]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Shams]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Esmaeili]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Jabbari Khamnei]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of ultrasonography with computed tomography in the diagnosis of nasal bone fractures]]></article-title>
<source><![CDATA[Dentomaxillofac Radiol]]></source>
<year>2011</year>
<volume>40</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>486-91</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nezafati]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Javadrashid]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rad]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Akrami]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of ultrasonography with submentovertex films and computed tomography scan in the diagnosis of zygomatic arch fractures]]></article-title>
<source><![CDATA[Dentomaxillofac Radiol]]></source>
<year>2010</year>
<volume>39</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>11-6</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nezafati]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ghavimi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Javadrashid]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Farhadi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Dehnad]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of accuracy of computed tomography scan and ultrasonography in the diagnosis of mandibular fractures]]></article-title>
<source><![CDATA[Dent Res J (Isfahan)]]></source>
<year>2020</year>
<volume>17</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>225-30</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
