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Figure 1: (a) Showing markings for canto-tragal line; (b) two points marking for double puncture arthrocentesis followed by blood injection at the
posterior mark

Figure 2: (a) Arthrocentesis using two point puncture in temporomandibular joint technique; (b) autologous blood injection
Table 1: Age, gender, duration of disease, frequency and treatment outcome
No. Age Gender Duration of Frequency of Average History of previous Period of Post treatment recurrence
disease in dislocation per week frequency treatment follow up in
months per week months
1 43 M 12 3-4 4.2 - 24 No
2 45 F 6 3-5 - 18 No
3 48 F 12 4-6 - 24 No
4 51 M 24 2-3 4.4 Yes, bandage 12 No
to restrict mouth
opening
5 53 F 5 5-6 - 16 Yes
6 55 M 36 3-4 Yes, IMF, 18 No
medications
7 52 F 18 4-6 - 26 Yes
8 56 F 12 5-6 Yes, medications, 24 No
bandage to restrict
mouth opening
9 62 F 36 3-4 4.3 - 18 No
10 67 F 12 4-6 - 20 No
11 73 M 48 Innumerable - Yes, injections and 24 Yes
medications
IMF: intramaxillary fixation
Chronic recurrent dislocation of TMJ (RTMJD) may occur as results like blow on the chin while mouth is open, injudicious use of
of routine activity of life, like excessive yawning, laughing loudly, mouth gag during general anesthesia or excessive pressure on
vomiting or opening mouth too wide for eating, due to trauma the mandible during dental extraction, and is characterized
122 Plast Aesthet Res || Volume 3 || April 25, 2016