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Submandibular approach

The incision can either be parallel to the inferior border of the mandible (A) or be placed in an existing skin crease (B)

Principles

This approach is selected for fractures of the mandibular body and angle regions unsuitable for intraoral treatment.
This applies to more difficult fracture patterns such as comminuted, atrophic, and defect fractures in order to allow optimal manipulation of the fragments, good control of the lingual cortex and inferior border, and the application of the selected hardware.

Variations
The incision can either be parallel to the inferior border of the mandible (A) or be placed in an existing skin crease (B) for maximum cosmetic benefit.