What surgical technique is typically used for atrophic mandible fractures in cases with significant bone loss?

The typical surgical technique used for atrophic mandible fractures in cases with significant bone loss is open reduction and internal fixation. This method allows for the precise alignment and stabilization of the fractured segments of the mandible, which is crucial when there is limited bone support. In patients with atrophic mandibles, the bone is often weak and may not provide sufficient stability on its own.

Open reduction allows the surgeon direct access to the fracture site to manipulate and align the bone fragments adequately. Internal fixation is then used to secure these fragments together using plates and screws, ensuring that the mandible can heal in the correct anatomical position. This technique is especially beneficial in managing fractures where maintaining the alignment and stability is vital for proper healing and function, making it the preferred approach in these challenging cases.

While other options, such as closed reduction or conservative management, may be suitable for certain situations involving less complex fractures or those without significant bone loss, they do not provide the same level of stability and precision necessary for atrophic mandible fractures. The transoral approach, while it can be used in various maxillofacial procedures, may not adequately address significant bone loss associated with complex fractures, further making open reduction and internal fixation the optimal choice.