[Transoral osteosynthesis in mandibular fractures]

The extraoral approach is frequently used for repositioning and stabilizing fractures of the mandible in which osteosynthesis is indicated, but also the transoral approach may be applied. Depending on the location of the fracture, the technical difficulties vary in operations using the oral access. By means of suitable instruments and appropriate operating techniques, which are described for the various fracture types of the lower jaw, almost all fractures of the mandible can be operated upon using the oral approach. The essential advantages of such a procedure are that the facial nerve cannot be damaged and an esthetically unfavourable external scar is avoided.