Modified Retromandibular Approach for the Management of Condylar Fractures of the Mandible

Condylar fractures of the mandible have been of particular interest to surgeons for decades, as there is a big debate regarding the management option: conservative versus surgical modality. Conservative treatment is the preferred treatment modality for condylar head (diacapitular) fractures. Currently, surgical modality is favored and surgeons are opting for open reduction and internal fixation for diacapitular fractures as it reestablishes the anatomical position of the fragments and disc, and permits immediate functional mobility of the jaw, thereby reducing the chances of occurrence of temporomandibular joint ankylosis. This case series enumerates the pros and cons of open reduction and internal fixation of condylar fractures of the mandible occurring at various levels using a modified retromandibular approach and highlights that this can be considered as one of the treatment options for condylar fractures.