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A Modification of the Classical Dautrey's Procedure - A Case Report
P Satish Kumaran1, G L Georgeno2, Mirza Muqheem Baig3
1Department of Oral and Maxillofacial Surgery, M.R. Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.
Rationale:
The rationale was to establish a permanent surgical solution for nonreducing dislocations of the temporomandibular joint (TMJ).
Patient Concerns:
The patient presents with a long-standing history of chronic subluxation of the TMJ bilaterally, with the need to forcibly manipulate and reduce the dislocated jaw.
Diagnosis:
Chronic recurrent dislocation of the TMJ.
Treatment:
A modified Dautrey's procedure was performed on the right side, with the osteotomized segment being transferred medially and inferiorly.
Outcome:
After 5 years of follow-up, there was no incidence of recurrent dislocation.
Take-Away Lesson:
This modification is a viable option in both unilateral and bilateral reducing and nonreducing dislocations.
