ABSTRACT
PURPOSE: The aim of this retrospective study was to evaluate the increase in height and change in position of neo-articular tubercle in cases treated by Dautrey's procedure. METHOD: 10 cases of Tempromandibular joint (TMJ) disorders satisfying the inclusion criteria were included in this study, out of which 8 had bilateral chronic recurrent dislocations (CRD) and remaining 2 were suffering from bilateral symptomatic TMJ subluxations. Clinical and radiographic finding were recorded. Bilateral Dautrey's procedure was done under general anaesthesia (GA). Post operative clinical findings and radiographic parameters were compared. RESULTS: Data analysis showed mean age in this study group was 40.9 years. Out of 10 patients 7 were females and 3 males.The procedure resulted in statically significant stable decrease in mouth opening after 12 months. In radiological evaluation using orthopantomograph (OPG), average increase in articular tubercle height was 3.65 mm on right side and 3.52 mm on left side. The mean anterior shift of articular tubercle lowest point was 4.56 mm on right side and 4.51 mm on left side which were statically highly significant. CONCLUSION: Dautrey's procedure is simple, effective procedure to prevent anterior excursion of condyles. In this study it was found that down fractured zygomatic arch significantly increases the articular tubercle height and relocates the lowest point anteriorly thereby preventing excessive anterior excursion of condyles.
Subject(s)
Joint Dislocations/surgery , Temporomandibular Joint Disorders/surgery , Temporomandibular Joint/surgery , Adult , Chronic Disease , Female , Follow-Up Studies , Humans , Joint Dislocations/pathology , Joint Instability/pathology , Joint Instability/surgery , Male , Mandibular Condyle/pathology , Pain Measurement , Radiography, Panoramic , Range of Motion, Articular/physiology , Retrospective Studies , Temporal Bone/surgery , Temporomandibular Joint/pathology , Treatment Outcome , Zygoma/surgeryABSTRACT
Arteriovenous malformations of jaw are extremely rare conditions that can result in disastrous complications, if handled carelessly. Although various treatment modalities have been advocated in the literature, there seems to be no complete consensus on a suitable treatment in these cases. This report highlights the importance of correct diagnosis and early treatment in management of vascular malformations. Extracorporeal curettage followed by immediate replantation yielded good results in our case and this technique can emerge as a valid alternative, especially in developing countries.
