Management of bilateral fractures three weeks after mandibular skin graft vestibuloplasty

Management of bilateral fractures of the atrophic mandible is a difficult problem. A recent skin graft vestibuloplasty with lowering of the floor of the mouth compromises the blood supply to the fractured segments and jeopardizes the changes for bony union. The viability of the skin graft and the stability of the vestibular extension are also at risk. The successful management of such a case is presented and discussed.