Evaluation of Closed and Open Reduction of Condylar Fractures

To evaluate the closed versus open reduction of condylar fracture. This review was to evaluate the main variable that determine the choice of method for treatment of condylar fracture: open or closed, pointing out their indications, contra-indications, advantage and disadvantage. The treatment of condylar process fracture has generated a great deal of discussion and controversy in oral and maxillofacial trauma and there are many different methods to treat this injury. For each type of condylar fracture, the technique must be chosen taking into consideration the presence of teeth, fracture height, patient's adaption, patient's masticatory system, disturbance of occlusion,functional deviation of mandible, internal derangements of the temporomandibular joint(TMJ) and ankylosis of joint with resultant inability to move the jaw,all of which are sequelae of this injury. Many surgeons seem to favor closed treatment with maxillomandibular fixation(MMF),but in recent years,open treatment of condylar fracture with rigid internal fixation(RIF) has become more common.