Comparison of tissue artifacts in punch and scalpel biopsies of oral and maxillofacial lesions: a systematic review and meta-analysis

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dc.creatorSicilia Rezende Oliveira
dc.creatorTatiana Fernandes Araújo Almeida
dc.creatorTarcília Aparecida da Silva
dc.creatorRicardo Alves de Mesquita
dc.creatorLucas Guimarães Abreu
dc.date.accessioned2025-04-29T18:49:30Z
dc.date.accessioned2025-09-09T00:41:47Z
dc.date.available2025-04-29T18:49:30Z
dc.date.issued2020-12
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1016/j.jormas.2020.06.005
dc.identifier.issn2468-7855
dc.identifier.urihttps://hdl.handle.net/1843/81963
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Stomatology Oral and Maxillofacial Surgery
dc.rightsAcesso Restrito
dc.subjectArtifacts
dc.subjectBiopsy
dc.subjectSurgery, oral
dc.subjectLaser therapy
dc.subjectCrush injuries
dc.subjectOral hemorrhage
dc.subjectBiopsy, needle
dc.subjectCraving
dc.subjectEvaluation study
dc.subjectNetwork meta-analysis as topic
dc.subject.otherArtifacts
dc.subject.otherBiopsy
dc.subject.otherOral surgery
dc.subject.otherPunch
dc.subject.otherScalpel
dc.titleComparison of tissue artifacts in punch and scalpel biopsies of oral and maxillofacial lesions: a systematic review and meta-analysis
dc.typeArtigo de periódico
local.citation.epage712
local.citation.issue6
local.citation.spage704
local.citation.volume121
local.description.resumoAim: The aim of this systematic review and meta-analysis was to compare the occurrence of tissue artifacts in punch and scalpel biopsies of oral and maxillofacial lesions. Methods: Electronic searches were conducted in four databases (PubMed, Scopus, Web of Science and Ovid). Study selection, data extraction, and quality assessment of the included articles were performed independently by two authors. An evaluation of the strength of the evidence (GRADE) and meta-analysis were conducted. Odds ratio and confidence intervals (CI) were provided. Results: After the removal of duplicates, 466 references were identified. Four studies evaluating artifacts, such as crush, fragmentation, splits, hemorrhage, curling, and orientation artifacts and also those induced by improper surgical removal, were included. Specimens obtained using scalpel biopsy were 2.98 times more likely (CI=1.53-5.80) to present crushes and 12.36 times more likely (CI=2.64-57.83) to present splits than specimens procured using punch biopsy. Scalpel biopsies were also 2.40 times more likely to present fragmentation than punch biopsies (CI=1.01-5.72). No significant differences between scalpel and punch biopsies were found concerning the presence of hemorrhage, curling, or orientation artifacts and those induced by improper surgical removal. After sensitivity analysis, samples obtained from scalpel biopsy were 6.18 times more likely to present hemorrhage than those from a punch biopsy (CI=2.21-17.28). Based on the GRADE evaluation, the confidence in the effect estimate of the sub-group analysis of crush and fragmentation was moderate. For the other subgroup analysis, the confidence was low or very low. Conclusion: Punch biopsies were less likely to produce artifacts, such as crush, fragmentation, splits, and hemorrhage, than biopsies obtained with a scalpel.
local.identifier.orcidhttps://orcid.org/0000-0002-8164-2122
local.identifier.orcidhttps://orcid.org/0000-0001-9623-7835
local.identifier.orcidhttps://orcid.org/0000-0002-3216-5649
local.identifier.orcidhttps://orcid.org/0000-0003-3207-4007
local.identifier.orcidhttps://orcid.org/0000-0003-2258-8071
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
local.publisher.initialsUFMG
local.url.externahttps://pubmed.ncbi.nlm.nih.gov/32574868/

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