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Intraoral approach to symphysis

Intraoral approach

Principles

Vestibular incisions
The intraoral approach is the usual access for simple fractures of the body, symphysis, and angular regions.
The approach can be extended posteriorly (dashed line) for better access to the body, angle and ramus regions.

Restricted access and contamination
In complex fractures including comminuted, edentulous, and avulsive fractures requiring the placement of load-bearing reconstruction plates, a transfacial approach may provide better access.
Oral contamination is not a contraindication for an intraoral incision.