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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.
Annals of Maxillofacial Surgery
|March 10, 2022
Summary
A modified surgical technique offers a permanent solution for chronic temporomandibular joint (TMJ) dislocations. This procedure effectively prevents recurrent dislocations, providing lasting relief for patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Biomedical Engineering
Background:
- Chronic recurrent temporomandibular joint (TMJ) dislocations present a significant challenge, often requiring manual reduction.
- Nonreducing dislocations necessitate advanced surgical interventions for a definitive solution.
Observation:
- A patient with a history of bilateral chronic TMJ subluxation requiring frequent manual reduction was treated.
- The temporomandibular joint (TMJ) is a complex joint prone to dislocations and subluxations.
Findings:
- A modified Dautrey's procedure, involving medial and inferior transfer of an osteotomized segment, was successfully performed.
- A 5-year follow-up revealed no recurrence of TMJ dislocation after the modified surgical intervention.
Implications:
- This surgical modification presents a viable and permanent solution for both unilateral and bilateral TMJ dislocations.
- The technique holds promise for managing reducing and nonreducing TMJ dislocations, improving patient outcomes.
