Treatment of atrophic mandible fractures represents a skilly surgery and still remains controversial. Closed "wait-and-see" approach often results in fracture nonunion, pseudoarthrosis, poor alignment and pain during function. Open reduction and internal rigid fixation seem to provide the best morpho-functional outcome in atrophic mandible fractures. Authors report their experience in the treatment of these fractures and suggest a protocol to optimize the results using reconstruction plates, autologous bone grafts and osseous free flaps.
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