Published Paper Details:

Parasymphysis mandibular fractures present unique biomechanical and anatomical challenges due to complex tensile, compressive, and torsional forces in the anterior mandible. Various osteosynthesis techniques, including rigid reconstruction plates, semi-rigid miniplates, lag screws, hybrid systems, and interosseous wiring, are employed to restore mandibular function, aesthetics, and stability. Rigid fixation offers absolute stability and is indicated in comminuted or edentulous fractures, while semi-rigid miniplates preserve periosteal blood supply and are preferred for simple, non-comminuted fractures. Screw selection, single versus double plating, and load-sharing versus load-bearing approaches influence clinical outcomes. Postoperative evaluation demonstrates generally favorable functional recovery, with stable occlusion, restored masticatory efficiency, and early rehabilitation. Complications, including infection, hardware failure, and sensory disturbances, remain low, particularly with single high-profile miniplates and appropriately applied lag screws. Optimal outcomes are achieved by tailoring fixation strategies to fracture pattern, bone quality, and biomechanical requirements, emphasizing evidence-based, patient-specific decision-making.