Temporomandibular Joint Disc Displacement, Temporomandibular Joint Disc Displacement, Without Reduction
Conditions
Keywords
External ear cartilage, Anterior disc displacement without reduction., Temporal fascia
Brief summary
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
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.
Interventions
PROCEDUREDiscopexy to external ear cartilage
stabilizing the articular disc within the temporomandibular joint (TMJ) in patients experiencing TMJ disorders (TMD) to external ear cartilage
PROCEDUREDiscopexy to temporal fascia
stabilizing the articular disc within the temporomandibular joint (TMJ) in patients experiencing TMJ disorders (TMD) to temporal fascia
Sponsors
Sohag University
Fayoum University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
35 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patients with primary TMD with complete anterior disc displacement without reduction with no or minimal osteoarthritic changes
Exclusion criteria
* osteoarthritis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Visual Analog Scale (VAS) | baseline, 1 month, 3 months, 6 months | The Visual Analog Scale (VAS) It consists of a straight line, typically 10 centimeters (100 mm) in length, with one end labeled No Pain and the other end labeled Worst Pain Imaginable. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disc position | baseline, 1 month, 3 months, 6 months | assess the position of the articular disc in the TMJ either Normal, anterior displacement (with or without reduction), posterior displacement, or lateral displacement. |
| Maximum Mouth opening | baseline, 1 month, 3 months, 6 months | used to assess the functional capacity of the temporomandibular joint (TMJ) and the surrounding musculoskeletal structures. |
Countries
Egypt
Outcome results
None listed