A Systematic Review on Controversies Related to Management of Condylar Fractures

In Maxillofacial Trauma, condylar fractures are the most common with a high incidence among the mandibular fractures. Management of the condylar fractures always remained a source of ongoing controversy in oral and maxillofacial trauma. Condylar fractures can be intracapsular or extracapsular, displaced, undisplaced, deviated or dislocated. There are various factors which have remained the deciding for the treatment indicated including presence of teeth, status of occlusion, unilateral or bilateral fracture, age of the patient, level and displacement of fracture, co-existence of other maxillary or mandibular fracture and other form of fractures which are difficult to recover functionally and aesthetically. Most of the researchers favor closed reduction with maxillomandibular fixation, but in the recent era, open reduction with internal fixation has become the most common. To overcome this problem, we are presenting this review to ascertain the main variables that determine the choice of treatment and to appraise the current evidence regarding the effectiveness of the treatment.