Application of Digital Techniques in Intraoral Condylectomy Via Coronoid Process Resection

NCT ID: NCT02120495

Last Updated: 2014-11-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2015-12-31

Brief Summary

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This study will apply the digital techniques to do the condylectomy through an intraoral approach without needing to do the intraoral vertical ramus osteotomy (IVRO). This new surgical technique will greatly maintain the TMJ anatomy structure, reduce the risk and increase the precision of the operation procedure.

Detailed Description

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In this study we will use the digital techniques such as pre-surgical visual treatment planning, real time surgical navigation system, endoscope techniques, to do the intraoral condylectomy via coronoid process resection. After the condyle lesion resection, the coronoid process will be reimplanted and fixed by stainless steel wire. By using these techniques we can safely and precisely cut proper size and position of the condyle lesion as we pre-surgically designed, and at the same time greatly maintain the temporomandibular joint anatomy structure. Since we don't need to do the mandible vertical ramus osteotomy, and no conventional extraoral incision will be needed, the surgical injury will be minimized and the TMJ function will recover soon postoperatively. Additionally, the intraoral approach can avoid the risk of facial nerve injury, salivary fistula and skin scar, so it has better aesthetic results than the preauricular approach and the submandibular approach.

Conditions

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Surgical Approach & Incisions

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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intraoral condylectomy via coronoid process resction

This procedure has no facial nerve injury and skin scar,little injury to TMJ anatomy and function.

Group Type EXPERIMENTAL

condylectomy

Intervention Type PROCEDURE

The condylectomy via intraoral approach will avoid the risk of facial nerve injury and skin scar compared with the preauricular incision.And it can also greatly reserve the temporomandibular jiont anatomy and function.

Interventions

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condylectomy

The condylectomy via intraoral approach will avoid the risk of facial nerve injury and skin scar compared with the preauricular incision.And it can also greatly reserve the temporomandibular jiont anatomy and function.

Intervention Type PROCEDURE

Other Intervention Names

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surgical approach

Eligibility Criteria

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Inclusion Criteria

* Patients with mandible condylar hyperplasia or osteoma who need to do the condylectomy to prevent the active growth of the affected mandible condyle and the consequence progressive facial asymmetry
* Usually the patients have TMJ functional disorder; and the SPECT shows difference greater than 20% (pixel count) between the affected side and the contralateral normal side.

Exclusion Criteria

* Patients with contradictions to do the operation procedure and general anesthesia, patients refuse to accept the condylectomy, or patients can't afford the extra cost for the application of digital techniques are excluded from this study
Minimum Eligible Age

15 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing Municipal Science & Technology Commission

OTHER

Sponsor Role collaborator

Peking University

OTHER

Sponsor Role lead

Responsible Party

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wang xiaoxia

associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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xiaoxia wang, MD

Role: PRINCIPAL_INVESTIGATOR

Peking University School of Stomatology

Locations

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Peking University Hospital of Stomatology

South Zhongguancun Avenue22, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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xiaoxia wang

Role: CONTACT

86-10-82195695

Facility Contacts

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xiaoxia wang

Role: primary

86-10-82195695

Other Identifiers

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wxiaoxia1

Identifier Type: -

Identifier Source: org_study_id