• ORIF is likely to be difficult
  • MMF should be applied for 6 weeks
  • If arch bars or cap splints are applied the use of intermittent elastics at night for several weeks after the fixation is removed is done.
  • When a bilateral # is associated with major midfacial # then ORIF of both sides is desirable.


  • Submandibular(RISDON’S)
  • Postramal(HIND’S)
  • Postauricular
  • Endaural
  • Preauricular
  •     -Dingmans
  •     -Blair’s
  •     -Thoma’s
  •     -Al-Kayat and Bramley’s

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