Management of parasymphyseal fractures of the mandible

Fractures of the parasymphyseal mandible occur in 15% of all cases of mandibular fracture. The experience obtained from 32 consecutive parasymphyseal fractures is outlined. Open reduction and internal fixation was required in patients having severe comminution, a mobile central fragment, or bilateral subcondylar fractures. These circumstances constituted 15% of all parasymphyseal fractures. The techniques utilized have been outlined.