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18-Year-Old with Parasymphysis Unilateral Mandibular Fracture Treated by IMF & Plating | Step-by-Step Surgery & Recovery
See how we treated a parasymphysis mandibular fracture in an 18-year-old male using IMF & plating. Scar-free recovery in just 15 days.
JAW SURGERY
DR. NEETU JHUNJHUNWALA
6/13/20251 min read
An 18-year-old male presented after a bike accident with a unilateral parasymphysis fracture of the mandible and visible extraoral bruises. He experienced difficulty in speaking and discomfort during jaw movement.
Diagnosis
Fracture Type: Unilateral mandibular parasymphysis fracture
Extraoral Findings: Bruising over chin region
Intraoral Findings: Displacement at fracture site
Treatment Plan
1. Initial Stabilization
Intermaxillary fixation (IMF) to temporarily immobilize the fracture.
2. Definitive Surgery
Open reduction and internal fixation (ORIF) with miniplate at fracture site.
Surgical Procedure
1. Preparation: Face cleaned with Betadine antiseptic.
2. Anaesthesia: Local anaesthesia administered for painless surgery.
3. Access: Surgical flap raised to expose the fracture line.
4. Fixation: Fracture reduced and stabilized using titanium plate & screws.
5. Closure: Surgical site sutured.
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Recovery
Suture Removal: After 15 days, sutures removed.
Outcome: Normal speech, pain-free jaw movement, and no visible scar on the external face.
Follow-Up: Advised soft diet and oral hygiene maintenance.
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Key Points for Patients
✅ Early treatment ensures better function and aesthetics.
✅ Modern plating techniques allow scar-free healing.
✅ Proper post-operative care prevents complications.
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