Outcomes of Bilateral Temporomandibular Joint Arthroscopy and the Role of a Second Intervention - Timings and Results
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 46
- 主要终点
- Pain (Visual Analogue Scale (0,10)
研究概览
简要总结
Temporomandibular joint (TMJ) arthroscopy has been used successfully for intra-articular disorders. Until now, limited studies are available regarding the clinical evidence of bilateral TMJ arthroscopy for Dimitroulis 2-3. This prospective study investigated the efficacy of TMJ arthroscopy in patients with bilateral disorders, and also the need for a posterior surgery.
详细描述
Temporomandibular joint (TMJ) arthroscopy has been used successfully for intra-articular disorders. It was first introduced by Onishi at 1975, as a pioneering technique to treat painful joints and has been associated with a reduction in the number of open joints surgeries. This minimally invasive technique allows observation of the TMJ upper compartment tissues, and sometimes the lower compartment. Moreover, this intervention allows joint lysis and lavage (level 1 arthroscopy) and intra-articular surgical procedures (level 2-3 arthroscopy).
Recent studies updated that TMJ arthroscopy promotes a reduction in pain and inflammatory process and restoring the mandibular function with low morbidity. Moreover, TMJ arthroscopy seems to be also long-term effective for relieving TMJ symptoms. Until now, limited studies are available regarding the clinical evidence of bilateral TMJ arthroscopy for Dimitroulis 2-3. This prospective study investigated the efficacy of TMJ arthroscopy in patients with bilateral disorders, and also the need for a posterior surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •age >16 years;
- •clinical diagnosis of bilateral intra-articular disorder;
- •clinical criteria for bilateral TMJ arthroscopy;
- •magnetic resonance imaging (MRI) assessing the intra-articular derangement
排除标准
- •The exclusion criteria included any history of previous TMJ surgical intervention or any facial trauma within the last 4 weeks prior the study.
- •Severe medical problems or mental illness, and pregnancy were also exclusion criteria
研究组 & 干预措施
bilateral temporomandibular joint arthroscopy
干预措施: bilateral temporomandibular joint arthroscopy (Procedure)
bilateral temporomandibular joint arthroscopy
干预措施: Xeomin® (Merz) (Drug)
结局指标
主要结局
Pain (Visual Analogue Scale (0,10)
时间窗: Through study completion, an average of 2.5 years
VAS, 0-10, with 0 being no pain and 10 having maximum unbearable pain
次要结局
- Muscle tenderness (0-3 scale)(Through study completion, an average of 2.5 years)
- Maximum mouth opening (MMO, mm)(Through study completion, an average of 2.5 years)
研究者
David Faustino Ângelo
Clinical Director
Instituto Portugues da Face