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Modified Dautrey's Procedure for Recurrent Temporomandibular Joint Dislocation.

Wei An1, Jiayi Chen2,3,4,5, Jingang An2,3,4,5

  • 1Department of Oral and Maxillofacial Trauma and Orthognathic Surgery, The First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital), Urumqi Xinjiang, PR China.

The Journal of Craniofacial Surgery
|July 11, 2024
PubMed
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This study shows a modified Dautrey

Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthodontics
  • Temporomandibular Joint Disorders

Background:

  • Recurrent temporomandibular joint (TMJ) dislocation presents a significant clinical challenge.
  • Traditional treatments may have limitations in long-term efficacy and patient suitability.
  • A modified Dautrey's procedure offers a potential alternative for managing TMJ instability.

Purpose of the Study:

  • To evaluate the clinical effectiveness of a modified Dautrey's procedure for treating recurrent TMJ dislocation.
  • To assess the outcomes in terms of recurrence rates, maximal mouth opening (MMO), and pain.
  • To determine the suitability of this modified technique, particularly for specific patient populations.

Main Methods:

  • The modified Dautrey's procedure, incorporating zygomatic arch down-fracture and articular tubercle augmentation, was performed on patients with recurrent TMJ dislocation.

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  • Postoperative evaluations included assessment of joint dislocation recurrence, MMO, and pain levels.
  • Follow-up duration ranged from 0.5 to 5 years.
  • Main Results:

    • Seven patients underwent the modified procedure with no reported cases of facial nerve injury.
    • No recurrences of TMJ dislocation were observed during the follow-up period.
    • The average MMO showed minimal change, from 35.4 mm preoperatively to 35.7 mm postoperatively.
    • Pain levels were also evaluated, though specific data is not detailed in the abstract.

    Conclusions:

    • The modified Dautrey's procedure is an effective treatment for recurrent TMJ dislocation.
    • This surgical approach demonstrates a low recurrence rate and maintains or improves maximal mouth opening.
    • The procedure is particularly well-suited for elderly patients experiencing abnormal muscle control, offering a viable solution with minimal complications.