BODY AND ANGLE FRACTURES OF THE MANDIBLE

Abstract

This article provides a comprehensive analysis of the surgical management of mandibular body and angle fractures, correlating clinical anatomy with biomechanical stabilization principles. It evaluates the regional neurovascular risks—specifically involving the inferior alveolar and mental nerves—and the impact of muscular forces on fracture displacement. The text details various osteosynthesis modalities, ranging from load-sharing miniplates and lag screws to load-bearing reconstruction plates. Key technical requirements, including the application of tension bands to neutralize distracting forces and the use of dynamic compression for primary bone healing, are examined. By synthesizing diagnostic imaging standards, surgical approaches (transoral and transcervical), and perioperative protocols, this review serves as a definitive guide for achieving stable internal fixation and early functional restoration in craniomaxillofacial trauma.