Caldas Inês Morais, Magalhães Teresa, Matos Eduarda, Afonso Américo
Faculdade de Medicina Dentária (Faculty of Dental Medicine, Forensic Dentistry Department) da, Portugal ; Centro das Ciências Forenses (Center of Forensic Sciences) - CCF/FCT, Portugal.
Centro das Ciências Forenses (Center of Forensic Sciences) - CCF/FCT, Portugal ; Instituto Nacional de Medicina Legal e Ciências Forenses-Delegação do Norte (National institute of Legal Medicine and Forensic Sciences - North branch), Portugal ; Faculdade de Medicina (Faculty of Medicine, Forensic and Legal Medicine Department) da, Portugal ; Instituto de Ciências Biomédicas "Abel Salazar" (Biomedical Sciences Institute "Abel Salazar", Forensic and Legal Medicine Department) da, Universidade do Porto (University of Porto), Portugal.
Dent Res J (Isfahan). 2013 Nov;10(6):752-9.
Currently, orofacial sequelae are recognized as very influential on the quality-of-life for a victim of orofacial damage. Therefore, correct forensic assessment for indenisation purposes is mandatory. However, orofacial damage is frequently reduced to organic components, which results in a forensic assessment process, which are inadequate. This study aims to improve the orofacial damage assessment through the development of an auxiliary tool, the orohanditest.
A preliminary inventory was constructed, using relevant bibliographic elements and retrospective study of forensic examinations reports concerning orofacial trauma. This inventory was then utilized in the assessment of 265 orofacial trauma victims for validation. Validity was studied by analyzing the internal construct validity (exploring factorial validity and assessing internal consistency) and the external construct validity (assessing convergent validity and discriminant validity). The level of significance was defined as P < 0.05.
The final inventory (orohanditest) was comprised of the three components of body (8 items), functions (10 items) and situations (24 items), which were found to be statistically reliable and valid for assessment. The final score (orofacial damage coefficient) reflects the orofacial damage severity.
Orohanditest provides a reliable, precise, and complete orofacial damage description and quantification. Therefore, this method can be useful as an auxiliary tool in the orofacial damage assessment process.
目前，口腔颌面后遗症被认为对口腔颌面损伤受害者的生活质量有很大影响。因此，为了赔偿目的进行正确的法医评估是必不可少的。然而，口腔颌面损伤常常仅被归结为器质性成分，这导致法医评估过程并不充分。本研究旨在通过开发一种辅助工具——口腔手功能测试，来改进口腔颌面损伤评估。
利用相关文献资料以及对口腔颌面创伤法医检查报告的回顾性研究，构建了一份初步清单。然后将这份清单用于对265名口腔颌面创伤受害者的评估以进行验证。通过分析内部结构效度（探索因子效度并评估内部一致性）和外部结构效度（评估收敛效度和区分效度）来研究效度。显著性水平定义为P < 0.05。
最终清单（口腔手功能测试）由身体（8项）、功能（10项）和情境（24项）三个部分组成，经发现，这些部分在评估中具有统计学可靠性和有效性。最终得分（口腔颌面损伤系数）反映了口腔颌面损伤的严重程度。
口腔手功能测试提供了可靠、精确且完整的口腔颌面损伤描述和量化。因此，该方法可作为口腔颌面损伤评估过程中的一种辅助工具。
