Dautrey's Procedure in Treatment of Recurrent Dislocation of the Mandible

A Conservative Surgical Approach in the Management of Longstanding Chronic Protracted Temporomandibular Joint Dislocation: A Case Report and Review of Literature

“…Alternatively, an obstacle may be interposed to prevent excessive excursion and anterior translation and movement of the condyles. These techniques include Norman's procedure of glenotemporal osteotomy with interpositional bone grafting [38,39] and the Dautrey's procedure [40,41,42] in which the downfractured zygomatic arch is maneuvered inferior to the articular eminences, thus increasing its height. Nonetheless, a number of potential complications have been associated with such techniques, among which are the recurrence of dislocation through a gap within the medial part of the articular eminence, graft resorption, fracture of the distal part of the zygomatic arch, the negative remodeling of both the zygomatic arch, and the articular eminence [43].…”

Anterior dislocation of head of mandible: diagnosis and treatment

“…Ligaments fatigue and changed activity of muscles of mastication may be associated to mandibular instability, which may, as a consequence, increase the chances of dislocation, considering the presence of muscle fibers of the lateral pterygoid muscle and temporomandibular ligament fibers inserted both in the head of mandible and in the articular disc. Capsular ligament fibers, once broken, remain stretched, not returning to their original size 5,12,[14][15][16] . This may generate a vicious cycle with increased recurrence of the number of dislocations, in addition to worsening the situation 3,17 .…”

“…Case reports mention the use of botulinum toxin in the lateral pterygoid muscle as one more conservative alternative for ADHM, with satisfactory results 12,[24][25][26] . Sclerosant substances injection (alcohol, iodine, 3% sodium tetradecisulfate, autologous blood) around pericapsular ligaments and inside the capsule to produce local inflammatory reaction and to stimulate tissue fibrosis may also be used when the goal is to limit head of mandible movements 3,12,[14][15][16]19,27 . Articular pain, face deformity, functional changes and dislocation periodicity may be indicators of surgical interventions.…”

“…Surgical procedures involving the articular tubercle Oblique osteotomy of zygomatic bone root 16,38 Cortico-medullary graft 30 Alloplastic graft 31 aim at increasing its height through a support (grafts and metal devices), or totally or partially remove it (eminectomy and eminoplasty) 3,12,[14][15][16]30,[32][33][34][35][36][37] .The first approach aims at limiting mouth opening, while the other aims at promoting free mandibular movements, preventing anterior dislocation of head of mandible. As with the first approach, mandible movements may also be limited through the scaring of the temporal muscle tendon, miotomy of lateral pterygoid muscle, articular capsule plication, oblique osteotomy of zygomatic bone root, steel wire in the articular tubercle, miniplates, cortico-medullary and alloplastic graft 3,12,[14][15][16][17]30,31,38 . Arthroscopic eminoplasty has some advantages as compared to traditional eminectomy because similar results are obtained with less invasive procedure 36,37,39 .…”

Dautrey's Procedure Revisited in Management of Recurrent Mandibular Dislocation

“…1 Mandibular dislocation is one of the earliest disorders affecting jaws described in the literature. Hippocrates in 5 BC discussed the condition, and the reduction technique is still used to date.…”