Displacement of bony segments. Facial nerve function impairment direct bony pressure, in large setbacks. Discomforting Complications Mandibular nerve function impairment ranging from hypoesthesia to anesthesia. Regression and Relapse Relapse of 1 to 2 mm seen in most cases. Some surgeons reported lower incidence with use of RIF with screws.
Difficulty is in the size and location of the fracture.
The condylar position must be maintained. May use plates or screws for RIF If the fractured segment is stripped of soft tissue attachment and small, remove. Fractures Fracture of the distal segment More difficult to treat. Makes control of the proximal segment, and condylar position, more difficult. Must maintain soft tissue attachment, while attempting securing the segments.