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. Majority of surgeons seem to favour nonsurgical treatment of condylar fracture because of its minor postoperative complications. However, nonsurgical treatment may still yield serious complications like post-traumatic malocclusion. 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 surgeonsí preferred choice for the treatment of condylar fractures. Choosing the best treatment, such as surgery, inter maxillary fixation, physiotherapy or their association is directly related to fractures type, patient age and functional impairment degree. Clinical findings are relevant for proper diagnostic but image is fundamental for a precise treatment indication. The objective of this review was to evaluate the main variables that determine the choice of an open or closed method for treatment of condylar fractures, identifying their indications, advantages, and disadvantages, and to appraise the current evidence regarding the effectiveness of interventions that are used in the management of fractures of the bilateral mandibular condyle.
KEY WORDS: Mandibular Condyle, Fracture, Trauma, Bilateral