Nasal Septum Autologous Chondrocytes Transplantation for Condylar Resorption After Orthognathic Surgery
NCT03137914 · Status: COMPLETED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 10
Last updated 2021-02-23
Summary
This clinical study has as main objective to evaluate if the Nasal Septum Autologous Chondrocytes Transplantation for Condylar Resorption is safe and effective in the treatment of degenerative lesions of temporomandibular joint (TMJ). It is a case series, in which 10 participants with diagnosis of condylar reabsorption of TMJ will be selected, with orthognathic surgery indicated. Orthognathic surgery is conventionally indicated for patients with condylar resorption to correct dentofacial deformity and, therefore, will not be performed only in function of this clinical study. The selected participants will be submitted to nasal cartilage biopsy, for isolation and preparation of the chondrocytes. The only experimental group to be evaluated will be the group treated with autologous chondrocytes diluted in hyaluronic acid. The experimental treatment will be performed 15 days after orthognathic surgery, and will be injected through arthrocentesis. Clinical follow- up will be performed in the following periods: 7 and 15 days and 1, 3, 6 and 12 months after treatment. During the consultations, participants will also be evaluated for the intensity and severity of the pain experienced, as well as the disability related to it, through the same system used for the diagnostic classification (RDC / TMD). Imaging of the TMJ will be performed before, 6 and 12 months after the injection of the experimental treatment for bone and cartilaginous joint tissue analysis. Autologous chondrocyte implantation is expected to promote the regeneration of TMJ cartilage tissue safely and effectively.
Conditions
- Temporomandibular Joint Disorders
Interventions
- BIOLOGICAL
-
Autologous chondrocyte transplantation
intraarticular injection into the TMJ (arthrocentesis) of autologous chondrocytes diluted in hyaluronic acid
- PROCEDURE
-
orthognathic surgery
Orthognathic surgery for correction of dentofacial deformity, performed before the cellular transplantation
Sponsors & Collaborators
-
Faculdade de Medicina de Petrópolis Faculdade Arthur Sá Earp Neto
lead OTHER
Principal Investigators
-
Radovan Borojevic · Faculty of Medicine of Petrópolis
-
Paulo Guimarães · Faculty of Medicine of Petrópolis
-
Ricardo Tesch · Faculty of Medicine of Petrópolis
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-05-08
- Primary Completion
- 2016-05-08
- Completion
- 2020-12-02
Countries
- Brazil
Study Locations
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