Comparing Surgical Approaches for Mandibular Condylar Fractures: Implications for Masticatory Function, Pain, and Quality of Life
Year: 2025
Type: article
Study designs: Systematic Review, Meta-Analysis
Abstract: Background: Mandibular condylar fractures represent a significant proportion of facial trauma cases and pose therapeutic challenges due to their anatomical complexity and functional implications. This systematic review aimed to evaluate and compare the outcomes of open reduction and internal fixation (ORIF) versus closed reduction (CR) in the management of unilateral condylar fractures. Methods: This study followed PRISMA 2020 guidelines and included 15 comparative studies published between 2000 and 2024. Eligible studies were randomized controlled trials, cohort, or case-control studies evaluating ORIF and CR techniques for unilateral mandibular condylar fractures. Data were extracted regarding functional recovery, complications, and occlusal outcomes. Results: Meta-analytic synthesis revealed that closed reduction offered statistically superior outcomes in maximum interincisal opening (SMD = 0.80, p = 0.008), with mild, non-significant improvements in laterotrusion and protrusion. ORIF was superior in anatomical realignment and was favoured in significantly displaced fractures. Pediatric populations benefited more from CR, while adult and complex cases leaned toward ORIF or hybrid endoscopic-assisted approaches. Conclusion: While both modalities are effective, treatment choice should be individualized based on patient age, fracture complexity, and surgical accessibility. Closed reduction remains reliable for Pediatric and minimally displaced fractures, while ORIF is preferable in cases requiring anatomical correction.
Authors: Atef Eid, Madkour Elsayed, Alhaitham, W. Almohawis, Abdulaziz Abdrabuh, Alsulami, Amer H Q, D Alazm, Fahad melfi, aldhafeeri, Saleh Saeed, Mohammed Alqahtan, Mohamed Mohamed, Aboshetaih, Zenab Samir, Abdelfattah, Sundees Sultan, Abdulrahman Alabdulrazzaq, Njood Khalid, Ali Bin Jahlan, Fatimah Meqbil, Almehmad, Shahad Mohammed, Baheydrah, Ali Ayed, Alkhmmash
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7105762008
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