Health Condition 1: M266- Temporomandibular joint disorders
Conditions
Interventions
Intervention1: Concomitant total temporomandibular joint replacement and Orthognathic surgery: i. TMJ prosthesis is fabricated as per the CTOS- CASS Protocol (as mentioned in our plan of work section
Sponsors
Indian Council of Medical Research
Eligibility
Inclusion criteria
Inclusion criteria: i. Patients with Temporomandibular ankylosis ii. Patients with re-ankylosis of Temporomandibular joint after a failed surgery iii. Age: 18 years to 45 years
Exclusion criteria
Exclusion criteria: i. Patients with pre-existing co-morbidities that defer long surgery and impairs healing viz uncontrolled diabetes, vascular diseases, bleeding disorders not willing for optimization. ii. Edentulism without pros- thetic restoration iii. Patient with successful ankylotic release with adequate mouth opening over 35mm.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximum Bite ForceTimepoint: 1 Month, 3 month, 6 month Post Operative | — |
Secondary
| Measure | Time frame |
|---|---|
| Body Mass Index: evaluation of body mass indexTimepoint: Preoperatively and postoperatively at 3 months, 6 month.;Incidence of complications like peri-implant joint infection, reankylosis, facial nerve paresis, mandibular nerve sensory deficit.Timepoint: 1 Month, 3 month, 6 month, 1 year;Maximum interincisal openingTimepoint: Preoperative, 1 Month, 3 month, 6 month.;Obstructive sleep Apnoea evaluation using STOP-BANG and Modified Berlin QuestionnaireTimepoint: Preoperative, 1 Month, 3 month, 6 month.;Polysomnographic evaluation if any signs of OSATimepoint: Preoperative, 1 Month, 3 month, 6 month.;Posterior airway volumetric analysis using CT scan/CBCTTimepoint: Preoperative, 1 Month, 3 month, 6 month.;Quality of life assessment with WHOQOL-BREF scaleTimepoint: Preoperative, 1 Month, 3 month, 6 month. | — |
Countries
India
Contacts
Public ContactSanthosh Rao
All India Institute of Medical Sciences Raipur
Outcome results
None listed