Glenotemporal osteotomy with bone grafting versus Dautrey's procedure for the management of chronic recurrent temporomandibular joint dislocation and hypermobility: A retrospective study

Abstract

Aim The aim of the current study was to retrospectively compare Dautery's procedure and glenotemporal osteotomy in the treatment of chronic recurrent temporomandibular joint dislocation and hypermobility. Materials and Methods 28 patients presented with chronic recurrent dislocation of the TMJ during the period of the study. Three cases were omitted as they were operated using surgical techniques other than Dautrey's procedure or glenotemporal osteotomy. Another two cases were excluded because of incomplete data. Results 23 patients, 18 females and 5 males were included in this study. Group I included nine patients who had Dautrey's procedure and group II included 14 patients for whom glenotemporal osteotomy and bone grafting was performed. The mean age was 26.2 years (ranging from 14.5 to 54 years). The mean postoperative mouth opening in group I was 29 mm (ranging from 23 to 36 mm). The mean postoperative mouth opening in group II was 28.5 mm (ranging from 21 to 41 mm). Statistical analysis failed to reveal a significant difference in complications between both groups. Conclusions Dautrey's procedure and glenotemporal osteotomy are valuable surgical options in the treatment of chronic TMJ dislocation. The choice of the procedure may be left to the operator's preference.