A Comparative Study Between TMJ Discopexy to External Ear Cartilage Versus to Temporal Fascia

NCT ID: NCT06850142

Last Updated: 2025-02-27

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

COMPLETED

Clinical Phase

NA

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-05

Study Completion Date

2025-01-22

Brief Summary

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Discopexy is a surgical procedure aimed at stabilizing the articular disc within the temporomandibular joint (TMJ) in patients experiencing TMJ disorders (TMD). The TMJ is a complex joint responsible for jaw movement, and its proper function relies on the alignment and stability of the articular disc, a fibrocartilaginous structure that cushions the joint. In cases of disc displacement or dysfunction, patients may experience pain, clicking, limited jaw movement, and other symptoms.

Detailed Description

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Discopexy involves repositioning and securing the displaced disc to its anatomical position, often using sutures or anchors, to restore normal joint mechanics and alleviate symptoms. This procedure is typically considered when conservative treatments, such as physical therapy or splints, have failed to provide relief. Discopexy aims to improve joint function, reduce pain, and prevent further degenerative changes in the TMJ. The aim of the present study is to compare between new surgical techniques of discopexy of TMJ disc either to external ear cartilage or to temporal fascia.

Conditions

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Temporomandibular Joint Disc Displacement Temporomandibular Joint Disc Displacement, Without Reduction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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discopexy of Temporo-mandibular joint (TMJ) disc to external ear cart

30 patients underwent discopexy of Temporo-mandibular joint (TMJ) disc to external ear cartilage

Group Type EXPERIMENTAL

Discopexy to external ear cartilage

Intervention Type PROCEDURE

stabilizing the articular disc within the temporomandibular joint (TMJ) in patients experiencing TMJ disorders (TMD) to external ear cartilage

discopexy of TMJ disc to temporal fascia.

Patients underwent discopexy of TMJ disc to temporal fascia.

Group Type ACTIVE_COMPARATOR

Discopexy to temporal fascia

Intervention Type PROCEDURE

stabilizing the articular disc within the temporomandibular joint (TMJ) in patients experiencing TMJ disorders (TMD) to temporal fascia

Interventions

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Discopexy to external ear cartilage

stabilizing the articular disc within the temporomandibular joint (TMJ) in patients experiencing TMJ disorders (TMD) to external ear cartilage

Intervention Type PROCEDURE

Discopexy to temporal fascia

stabilizing the articular disc within the temporomandibular joint (TMJ) in patients experiencing TMJ disorders (TMD) to temporal fascia

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with primary TMD with complete anterior disc displacement without reduction with no or minimal osteoarthritic changes

Exclusion Criteria

* osteoarthritis
Minimum Eligible Age

35 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sohag University

OTHER

Sponsor Role collaborator

Fayoum University

OTHER

Sponsor Role lead

Responsible Party

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Alshaimaa Ahmed shabaan

Prof. Oral & Maxillofacial Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alshaimaa shabaan, PhD

Role: PRINCIPAL_INVESTIGATOR

Fayoum University

Locations

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Faculty of Dentistry- Fayoum University

Al Fayyum, , Egypt

Site Status

Countries

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Egypt

References

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Gonzalez LV, Lopez JP, Orjuela MP, de la Sen O, Diaz-Baez D, Martin-Granizo R. Could temporomandibular joint arthroscopic discopexy with resorbable pins or disc mobilisation influence mandibular condyle marrow? Br J Oral Maxillofac Surg. 2025 Jan;63(1):39-46. doi: 10.1016/j.bjoms.2024.10.226. Epub 2024 Oct 10.

Reference Type BACKGROUND
PMID: 39592295 (View on PubMed)

Jerez-Frederick D, Albers D, Fuenzalida C, Laissle G, Avila-Oliver C. Is the Complexity of Arthroscopic Temporomandibular Joint Surgery Associated With Short-Term Complication Rates? J Oral Maxillofac Surg. 2025 Mar;83(3):270-278. doi: 10.1016/j.joms.2024.11.008. Epub 2024 Nov 20.

Reference Type RESULT
PMID: 39645229 (View on PubMed)

Renapurkar SK. Discectomy Versus Disc Preservation for Internal Derangement of the Temporomandibular Joint. Oral Maxillofac Surg Clin North Am. 2018 Aug;30(3):329-333. doi: 10.1016/j.coms.2018.05.002. Epub 2018 Jun 7.

Reference Type RESULT
PMID: 29885876 (View on PubMed)

Other Identifiers

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TMJ discopexy

Identifier Type: -

Identifier Source: org_study_id

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