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

Fayoum University

Status: Completed

Conditions: Temporomandibular Joint Disc Displacement; Temporomandibular Joint Disc Displacement, Without Reduction

Treatments: Procedure: Discopexy to temporal fascia; Procedure: Discopexy to external ear cartilage

Study type: Interventional

Funder types: Other

Identifiers

NCT06850142

TMJ discopexy

Details and patient eligibility

About

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.

Full 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.

Enrollment: 22 patients

Sex: All

Ages: 35 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

• osteoarthritis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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22 participants in 2 patient groups

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

Experimental group

Description:

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

Treatment:

Procedure: Discopexy to external ear cartilage

discopexy of TMJ disc to temporal fascia.

Active Comparator group

Description:

Patients underwent discopexy of TMJ disc to temporal fascia.

Treatment:

Procedure: Discopexy to temporal fascia