Failed closed reduction of a bifocal mandibular fracture because of dislocation of the mandibular ramus behind the styloid: case report

We present an unusual dislocation of the mandibular ramus after a low condy lar fracture associated with a fracture of the opposite body of mandible. A s closed reduction failed, both fracture sites were exposed, The mandibular ramus was dislocated behind the styloid process, which was not shown on th e preoperative radiographs, The intermediate fragment was freed and the fra ctures treated by miniplate osteosynthesis, The patient made an uneventful recovery with no residual deformity.