Mitomycin C effect on fibrous adhesions of rabbit temporomandibular joint

Otolaryngol Head Neck Surg. 2005 Nov;133(5):672-6. doi: 10.1016/j.otohns.2005.07.030.

Abstract

Objective: To evaluate influence of mitomycin C on fibrosis in temporomandibular joints of rabbits with mandibular traction.

Study design: Twenty rabbits (8 control, 12 mitomycin C group) were included. Titanium screws were placed in the anterior edge of the right masseter tuberosity and the posterior part of the right zygoma. Elastic bands were placed between 2 screws to initiate posterio-superior displacement of the mandible to the right. Animals in the control group (CG) received intraarticular NaCl (0.9%) on the nondrawing (left) side, and animals in the study group (SG) received mitomycin C weekly (0.4 mg/mL) for 6 weeks. Rabbits were decapitated, temporomandibular joints were removed, and histopathological investigation was performed.

Results: Microscopically, 4 of 6 rabbits in the CG had fibrosis in the temporomandibular joint, whereas only 1 of 11 rabbits in the SG had fibrosis (P < 0.05).

Conclusion: Application of mitomycin C to the temporomandibular joint of rabbits significantly reduces formation of intraarticular fibrous adhesions.

Significance: This is the first study in the literature investigating the use of mitomycin C in the joints.

Ebm rating: B-2.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biopsy, Needle
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Female
  • Fibrosis / pathology
  • Fibrosis / prevention & control
  • Immunohistochemistry
  • Injections, Intra-Articular
  • Male
  • Mitomycin / pharmacology*
  • Probability
  • Rabbits
  • Random Allocation
  • Reference Values
  • Sensitivity and Specificity
  • Temporomandibular Joint / drug effects*
  • Temporomandibular Joint / pathology*
  • Temporomandibular Joint Disorders / drug therapy*
  • Temporomandibular Joint Disorders / pathology
  • Tissue Adhesions / pathology
  • Tissue Adhesions / prevention & control

Substances

  • Mitomycin