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5Bilateral condylar fractures with symphysis/anterior body fracture

Multiple fractures

Treatment considerations

Treatment of bilateral condyle and symphysis/anterior body fractures usually begins with the most anterior fracture component and ends with the most posterior one.

The reduction and stabilization of the anterior fracture is crucial for the restoration of the transverse dimension of the mandible. If the exact dimension is not restored, the transverse dimension of the subcondylar region could never be restored. Adequate reduction of the fracture in the lingual side before fixation is crucial. When the anterior osteosynthesis is performed with a strong plate, some overbending is required in order to close the lingual gap. Click here for a document also explaining the overbending procedure.

The fixation of the subcondylar fractures is usually performed secondarily. Alternatively, the condylar fractures could be treated closed.