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