Modified Dautrey’s Procedure for Recurrent Temporomandibular Joint Dislocation

Abstract

This study introduced and analyzed the clinical effects of a modified Dautrey’s procedure, involving down-fracture of the zygomatic arch and articular tubercle augmentation, for the treatment of recurrent TMJ dislocation. Recurrent TMJ dislocation patients were treated using the modified Dautrey’s procedure. The recurrence of joint dislocation, maximal mouth opening (MMO), and pain were evaluated postoperatively. A total of 7 patients were treated using the modified procedure, with no instances of facial nerve injury. No recurrences occurred during the follow-up period of 0.5 to 5 years. The average MMO was 35.4 mm and 35.7 mm before the operation and during follow-up, respectively. The modified Dautrey’s procedure was effective and particularly suitable for elderly patients with abnormal muscle control, resulting in low recurrence.