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Case Reports
. 2021 Jul-Dec;11(2):363-366.
doi: 10.4103/ams.ams_414_20. Epub 2022 Feb 1.

A Modification of the Classical Dautrey's Procedure - A Case Report

P Satish Kumaran  1 , G L Georgeno  2 , Mirza Muqheem Baig  3 , V Anuradha  1 , L V Shrishma  1
Affiliations
Case Reports

A Modification of the Classical Dautrey's Procedure - A Case Report

P Satish Kumaran et al. Ann Maxillofac Surg. 2021 Jul-Dec.

Abstract

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.

Keywords: Chronic recurrent dislocation; osteotomy; temporomandibular joint; zygomatic arch.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Bilateral nonreducing dislocation of the temporomandibular joint
Figure 2
Figure 2
Preoperative X-ray
Figure 3
Figure 3
Planned osteotomy cuts and medially displaced fragment
Figure 4
Figure 4
Postoperative occlusion and mouth opening
Figure 5
Figure 5
Postoperative view showing no malar flattening
Figure 6
Figure 6
Classical Dautrey's osteotomy and modified osteotomy
Figure 7
Figure 7
Postoperative closed-mouth and open-mouth OPG
Figure 8
Figure 8
Postoperative temporomandibular joint view (open-mouth and closed-mouth)
See this image and copyright information in PMC

References

    1. Sharma NK, Singh AK, Pandey A, Verma V, Singh S. Temporomandibular joint dislocation. Natl J Maxillofac Surg. 2015;6:16–20. - PMC - PubMed
    1. Coppelson K, Warburton G. Dislocation of the Temporomandibular Joint. Cham: Springer; 2018. Acute TMJ dislocation and technique of manual reduction; pp. 39–51.
    1. Renapurkar SK, Laskin DM. Injectable agents versus surgery for recurrent temporomandibular joint dislocation. Oral Maxillofac Surg Clin North Am. 2018;30:343–9. - PubMed
    1. Sarlabous M, Psutka DJ. Dislocation of the Temporomandibular Joint. Cham: Springer; 2018. Surgical management: Obstructing the path; pp. 77–89.
    1. Jeyaraj P. Chronic recurrent temporomandibular joint dislocation: A comparison of various surgical treatment options, and demonstration of the versatility and efficacy of the Dautrey's procedure. J Maxillofac Oral Surg. 2018;17:95–106. - PMC - PubMed

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