Outcomes of Surgical Management of Temporomandibular Joint Anterior Disc Displacement Without Reduction

NCT ID: NCT05478915

Last Updated: 2023-04-12

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-08-13
• Study Completion Date: 2025-08-01

Brief Summary

this study will be done to detect the best management of temporo-mandibular joint anterior disc displacement without reduction, for diagnosis, we use MRI on the TMJ to detect status of the disc and joint space, for management, we try to select best operation as discopexy, discectomy with or without replacement, and we follow up the patients and detect side effects and effect for each operation

Detailed Description

Discopexy is a procedure in which the displaced disk is freed by the surgeon and lysing adhesions first. The success of the disc repositioning depends on the degree of deformity and the extent of degenerative changes at the time of the arthroplasty. Repositioning the disc restores the condylar movement that was previously blocked by the displaced disc, stabilizes the joint, and improves nutrition and lubrication of articular cartilage. In addition, the workload of the masticatory muscles is reduced when the obstructing disc is repositioned. TMJ disc repositioning surgery seems to improve pain, mouth opening, and patient quality of life

Temporomandibular Joint (TMJ) arthroscopy is one of the most advanced and a minimally invasive technique involving optical instrumentation and prescribed surgical armamentarium, used for the treatment of the TMJ disorders. It is one of the most popular and effective methods of diagnosing and treating TMJ disorders since TMJ disorders have become an increasingly widespread problem in our society. Also, it enables the surgeon to visualize the joint and, therefore, contributes to the diagnosis of the internal pathological condition of the joint and allows inspection of a surgically undisturbed joint both at rest and in function

Conditions

Temporomandibular Joint Disc Displacement, Without Reduction

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

patients with TMJ anterior disc displacement

patients had clinically limited mouth opening and by MRI we found anterior disc displacement

Group Type: EXPERIMENTAL

discectomy of the TMJ disc

Intervention Type: PROCEDURE

removal of the TMJ disc

TMJ discopexy

Intervention Type: PROCEDURE

fixation of the TMJ disc

Interventions

discectomy of the TMJ disc

removal of the TMJ disc

Intervention Type: PROCEDURE

TMJ discopexy

fixation of the TMJ disc

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• This study will include patients diagnosed as anterior disc displacement without reduction based on clinical manifestations and MRI.

Exclusion Criteria

• o Patients with severe osteoarthritic changes of the condyle and glenoid fossa.

• Patients with bony ankylosis.
• Patients with infection or tumors around joint area.
• Patients with previous TMJ surgery.
• Any patient with systemic inflammatory disease or myopathic disease affecting TMJ such as Rheumatoid Arthritis And Systemic Lupus Erythromatosis.
• Patients unfit for intervention.
• Patients who refused to share in the study.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Sohag University

OTHER

Sponsor Role: lead

Responsible Party

Mohamed Abdelaal Ali

assistant lecturer of maxillofacial surgery

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Kamal M El- sharkawy, proffessor

Role: STUDY_DIRECTOR

sohag univesity hospitals

Locations

Sohag University Hospital

Sohag, , Egypt

Countries

Egypt

Central Contacts

Mohamed A ALI, lecturer

Role: CONTACT

mohamed.abdelaal@med.sohag.edu.eg

01093459925

Kamal M Hassanein, professor

Role: CONTACT

Facility Contacts

Osama R ELsheref, professor

Role: primary

Other Identifiers

Soh-Med-22-6-12

Identifier Type: -

Identifier Source: org_study_id