{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T02:57:46Z","timestamp":1781233066167,"version":"3.54.1"},"reference-count":33,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CMTR"],"abstract":"<jats:p>(1) Background: Mandibular condylar fractures continue to be a subject of debate, traditionally framed as a choice between open and conservative management. However, this binary approach fails to adequately account for fracture-level anatomy, Temporomandibular joint (TMJ) involvement, and functional outcomes. (2) Purpose: To present an imaging-guided, fracture-level-based algorithm that integrates radiologic evaluation, surgical approach selection, fixation biomechanics, and functional rehabilitation. (3) Review Strategy: This invited review combines current evidence with a 13-year institutional experience involving 495 joints. High-resolution Computed Tomography (CT) Imaging was used to assess fracture morphology, displacement, and ramal height, while Magnetic Resonance Imaging (MRI) was selectively employed in intracapsular fractures to evaluate disc\u2013condyle relationships when intra-articular involvement was suspected. Management decisions, including surgical approach and fixation strategy, were guided by an institutional algorithm tailored to fracture characteristics. (4) Results: Implementation of this approach yielded consistent and predictable outcomes. Mouth opening improved from approximately 18.77 mm preoperatively to 40 mm at 6 months. Lateral excursions became symmetrical (~9.6 mm), occlusion was restored in all patients, and bite force returned to near-physiological levels. Pain scores showed near complete resolution within 1 month. Postoperative morbidity remained low, with predominantly transient facial nerve weakness. (5) Conclusions: This imaging-guided, algorithmic framework provides reproducible functional outcomes and signifies a shift toward structured, anatomically driven management of condylar fractures.<\/jats:p>","DOI":"10.3390\/cmtr19020028","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T01:52:08Z","timestamp":1781229128000},"page":"28","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Imaging-Guided Algorithmic Management of Mandibular Condylar Fractures: A 13-Year Institutional Analysis of 495 Joints"],"prefix":"10.3390","volume":"19","author":[{"given":"Sonal","family":"Anchlia","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Ahmedabad 380016, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6727-8662","authenticated-orcid":false,"given":"Hetal","family":"Amipara","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Ahmedabad 380016, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7832-8407","authenticated-orcid":false,"given":"Zibran","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Ahmedabad 380016, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jigar","family":"Barasara","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Ahmedabad 380016, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3097-3167","authenticated-orcid":false,"given":"Jigar","family":"Dhuvad","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Ahmedabad 380016, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hrushikesh","family":"Gosai","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Ahmedabad 380016, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S0278-2391(10)80016-3","article-title":"Rigid fixation of mandibular condyle fractures","volume":"51","author":"Ellis","year":"1993","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_2","first-page":"1097","article-title":"New aspects for indications of surgical management of condylar head fractures","volume":"42","author":"Neff","year":"2014","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/0278-2391(83)90214-8","article-title":"Indications for open reduction of mandibular condyle fractures","volume":"41","author":"Zide","year":"1983","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_4","unstructured":"Mathes, S.J., and Hentz, V.R. (1983). Plastic surgery principles. Plastic Surgery, Saunders."},{"key":"ref_5","first-page":"1016","article-title":"Does the surgical approach for treating mandibular condylar fractures affect the rate of facial nerve injuries? A systematic review and meta-analysis","volume":"46","author":"Louvrier","year":"2018","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_6","first-page":"1390","article-title":"Complications of mandibular condyle fractures","volume":"56","author":"Ellis","year":"1998","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1016\/j.joms.2014.09.027","article-title":"Surgical treatment of adult mandibular condylar fractures provides better outcomes than closed treatment: A systematic review and meta-analysis","volume":"73","author":"Ellis","year":"2015","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"25","DOI":"10.3390\/cmtr18020025","article-title":"Redefining and Identifying Evidence-Based Indications for Open Reduction and Internal Fixation in Mandibular Condylar Fractures: A Comprehensive Systematic Review and Evidence Analysis","volume":"18","author":"Youssef","year":"2025","journal-title":"Craniomaxillofac. Trauma Reconstr."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1674","DOI":"10.1016\/j.joms.2009.02.012","article-title":"Intracapsular condylar fracture of the mandible: Our classification and open treatment experience","volume":"67","author":"He","year":"2009","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"256","DOI":"10.4103\/njms.njms_485_21","article-title":"Comparison of three different approaches in treatment of mandibular condylar fractures\u2014Our experience","volume":"14","author":"Mansuri","year":"2023","journal-title":"Natl. J. Maxillofac. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1016\/j.jcms.2006.03.003","article-title":"Open versus closed treatment of fractures of the mandibular condylar process\u2014A prospective randomized multi-centre study","volume":"34","author":"Eckelt","year":"2006","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2537","DOI":"10.1016\/j.joms.2008.06.107","article-title":"Open reduction and internal fixation versus closed treatment and mandibulomaxillary fixation of fractures of the mandibular condylar process: A randomized, prospective, multicenter study with special evaluation of fracture level","volume":"66","author":"Schneider","year":"2008","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_13","unstructured":"American Association of Oral and Maxillofacial Surgeons (2017). Clinical Practice Guidelines for Oral and Maxillofacial Surgery, AAOMS."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2169","DOI":"10.1016\/j.joms.2015.05.030","article-title":"Does soft tissue injury affect intracapsular condylar fracture healing?","volume":"73","author":"Yang","year":"2015","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_15","unstructured":"Court-Brown, C.M., Heckman, J.D., McQueen, M.M., Ricci, W.M., Tornetta, P., and McKee, M.D. (2015). Rockwood and Green\u2019s Fractures in Adults, Wolters Kluwer. [8th ed.]."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1016\/j.ijom.2019.02.003","article-title":"Surgical approaches for condylar fractures related to facial nerve injury: Deep versus superficial dissection","volume":"48","author":"Imai","year":"2019","journal-title":"Int. J. Oral Maxillofac. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1007\/s12663-024-02143-2","article-title":"Inviscision: A futuristic alternative to endaural incision for TMJ surgeries","volume":"23","author":"Sahal","year":"2024","journal-title":"J. Maxillofac. Oral Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.ijom.2023.10.197","article-title":"The perimeatal modification of Inviscision: In the search of the ideal preauricular incision","volume":"52","author":"Anchlia","year":"2025","journal-title":"J. Maxillofac. Oral Surg."},{"key":"ref_19","unstructured":"Ellis, E. (1999). Atlas of Approaches to the Craniofacial Skeleton, W.B. Saunders."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.jormas.2020.03.020","article-title":"A closer examination of the retromandibular subparotid approach: Surgical technique and anatomical considerations with a special focus on the angular tract. A cadaveric study and a technical note","volume":"121","author":"Scolozzi","year":"2020","journal-title":"J. Stomatol. Oral Maxillofac. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2116","DOI":"10.1016\/j.joms.2009.04.109","article-title":"The high submandibular approach for open reduction and internal fixation of condylar fractures","volume":"67","author":"Trost","year":"2009","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1977","DOI":"10.1016\/j.jcms.2016.07.009","article-title":"Use of a modified high submandibular approach to treat condylar base fractures: Experience with 44 consecutive cases treated in a single institution","volume":"44","author":"Pau","year":"2016","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1053\/joms.2001.21873","article-title":"Bite forces after open or closed treatment of mandibular condylar process fractures","volume":"59","author":"Ellis","year":"2001","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_24","first-page":"356","article-title":"Mandibular osteosynthesis according to the tension lines","volume":"79","author":"Champy","year":"1978","journal-title":"Rev. Stomatol. Chir. Maxillofac."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"10","DOI":"10.4103\/jispcd.JISPCD_428_17","article-title":"Surgical management of double\/triple mandibular fractures involving the condylar segment: Our perspective","volume":"8","author":"Nayak","year":"2018","journal-title":"J. Int. Soc. Prev. Community Dent."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1054\/jcms.2002.0297","article-title":"Photoelastic analysis of bone deformation in the region of the mandibular condyle during mastication","volume":"30","author":"Meyer","year":"2002","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"2522.e1","DOI":"10.1016\/j.joms.2019.07.012","article-title":"What is the most stable fixation technique for mandibular condyle fracture?","volume":"77","author":"Marwan","year":"2019","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_28","first-page":"709","article-title":"Three-dimensional versus standard miniplates in the management of mandibular condylar fractures: A systematic review and meta-analysis","volume":"49","author":"Mounair","year":"2020","journal-title":"Int. J. Oral Maxillofac. Surg."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1016\/j.joms.2017.12.018","article-title":"Comparative Evaluation of Clinical Outcomes Using Delta Plates and Conventional Miniplates for Internal Fixation of Mandibular Condylar Fractures in Adults","volume":"76","author":"Ahuja","year":"2018","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1239.e1","DOI":"10.1016\/j.joms.2017.02.014","article-title":"Computed Tomography-Based 3-Dimensional Finite Element Analyses of Various Types of Plates Placed for a Virtually Re-duced Unilateral Condylar Fracture of the Mandible of a Patient","volume":"75","author":"Murakami","year":"2017","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/S1010-5182(99)80023-7","article-title":"Evaluation of condylar neck fracture plating techniques","volume":"27","author":"Choi","year":"1999","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1016\/j.tripleo.2007.03.014","article-title":"Biomechanical comparison of different plating techniques in repair of mandibular angle fractures","volume":"104","author":"Alkan","year":"2007","journal-title":"Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod."},{"key":"ref_33","unstructured":"Prein, J. (1998). Manual of Internal Fixation in the Cranio-Facial Skeleton: Techniques Recommended by the AO\/ASIF-Maxillofacial Group, Springer."}],"container-title":["Craniomaxillofacial Trauma &amp; Reconstruction"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1943-3883\/19\/2\/28\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T02:40:13Z","timestamp":1781232013000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1943-3883\/19\/2\/28"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,11]]},"references-count":33,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["cmtr19020028"],"URL":"https:\/\/doi.org\/10.3390\/cmtr19020028","relation":{},"ISSN":["1943-3883"],"issn-type":[{"value":"1943-3883","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,11]]}}}