Key points in surgical management of mandibular condylar fractures
Mandibular condylar fractures are among the most common facial fractures and some of the most
difficult to manage.
Opinions about the management of mandibular condylar fractures differ among
surgeons.
With the implementation of new technology, an increased understanding of fracture management,
and better functional and morphological outcomes reported in the literature, open reduction
and internal fixation is becoming many surgeons’ preferred choice for the treatment of condylar fractures.
Because surgical treatment of such fractures is complex, certain factors must be considered to
achieve satisfactory outcomes.
In this article, we summarise six key points in the management of
mandibular condylar fractures: virtual evaluation of condylar fracture, a suitable surgical approach, good
reduction, stable internal fixation, repair of the articular disc, and restoration of the mandibular arch
width.
We believe that these points will help to improve the prognosis of mandibular condyle fractures.
