Management of symphyseal and parasymphyseal mandibular fractures

The optimal management of symphyseal and parasymphyseal fractures continues to evolve. Fractures in this area of the mandible predispose the patients to malocclusion and widening of the face if not properly treated. The current understanding of the biomechanics and fracture healing of the mandible has influenced the modern approach to the open reduction and internal fixation of these fractures. This article will summarize the treatment approaches and the surgical caveats that will contribute to the successful treatment of fractures of the mandibular symphysis and parasymphysis.