Orofacial myofunctional evaluation in cleft lip and palate: an integrative literature review

ABSTRACT Purpose: to identify the focus of scientific publications in the field of orofacial motricity in individuals with cleft lip and palate, as well as validated protocols used in speech and language evaluation. Methods: a study conducted using the following databases: Medline, SciELO, Lilacs and Google Scholar, through keywords including: cleft palate + cleft lip + evaluation + speech therapy + stomatognathic system + speech + phonation + chewing + swallowing + breathing + validation studies, in Portuguese and English. Results: a total of 572 articles that addressed the evaluation of the stomatognathic system was selected. The articles were published between 2012 and 2017, and examined for year of publication, subject area, focus, instrument used for evaluation, and type of study. Of these, 90 articles met the inclusion criteria, but only 5 used validated protocols. The greatest number of articles was published in 2014. The studies covered broad age groups, using subjective and objective methods, and instruments were often non-standardized. Conclusion: speech was the prevalent theme, while other orofacial functions were poorly investigated, demonstrating that studies with other approaches were lacking.

摘要
研究目的：明确唇腭裂（cleft lip and palate）患者口面部运动（orofacial motricity）领域的科学出版物研究焦点，以及言语语言评估中所使用的经验证评估方案。
研究方法：本研究依托Medline、SciELO、Lilacs及Google Scholar数据库开展检索，检索关键词涵盖唇腭裂、评估、言语治疗、口颌系统（stomatognathic system）、言语、发声、咀嚼、吞咽、呼吸及验证性研究，检索语言包含葡萄牙语与英语。
研究结果：本研究共筛选出572篇涉及口颌系统评估的文献，发表时间跨度为2012年至2017年，提取的文献分析维度包括发表年份、学科领域、研究焦点、评估所用工具及研究类型。其中90篇符合纳入标准，但仅5篇采用了经验证的评估方案。发文量最多的年份为2014年，研究覆盖广泛的年龄区间，同时使用主观与客观评估方法，且多数评估工具未实现标准化。
研究结论：言语为该领域的主流研究主题，其余口面部功能的相关研究较为匮乏，提示当前仍缺乏其他研究视角的相关成果。