PMC6018285_01
Preoperative frontal view
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F1
On perusing the records, it was observed that in the immediate trauma period, he had been identified with edema, tender on palpation, malocclusion, sublingual hematoma, and step deformity at the symphysis region [Figure 1].
(a) Three-dimensional computed tomography mandible view showing right ramus fracture. (b) Symphysis fracture
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F2
The three-dimensional computed tomography (CT) mandible reveals a linear fracture line extending from subsigmoid region of the mandible extending downward to the inferior border of the angle through ramus of the mandible [Figure 2a and b].
Risdon's incision
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F3
Under local anesthesia, open reduction and internal fixation were performed through Risdon's incision to reduce ramal fracture and intraoral anterior vestibular incision to reduce symphysis fracture [Figure 3].
Open reduction and internal fixation of (a) ramus and (b) symphysis
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F4
Internal fixation was done with three 2 mm 2 hole miniplates for ramal fracture and one 4 hole 2 mm stainless steel plate for symphysis fracture [Figure 4].
Postoperative radiograph
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F5
The extraoral incision was closed with 4-0 Prolene suture [Figures 5 and 6].
Suturing with Prolene 4-0
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F6
The extraoral incision was closed with 4-0 Prolene suture [Figures 5 and 6].