Vol. 61 - No. 10 MINERVA STOMATOLOGICA 457 According to Spiessl and Schroll (1972) con- dylar fractures may be classify as follows: 3-5 1. non displaced fracture; 2. low neck fracture with displacement; 3. high neck fracture with displacement; 4. low neck fracture with dislocation; 5. high neck fracture with dislocation; 6. head fracture. The majority of condylar fractures in- volves the condylar neck while sagittal or vertical fractures and chip fractures are rarely found by conventional radiography and are usually detected by computed tom- ography scan. 1 The incidence of condylar fractures in maxillofacial traumas is high, both in child- hood and in adults. This happens because although the condyle is well protected in the glenoid fossa, its neck is a relatively fragile area. 3 Some studies report an equal distribution between the sex, but others individuate a male predominance [8:1]. 6 A early diagnosis can be performed through clinical and radiological examination. Panoramic radiograph and stratigraphy can be considered a irst level diagnostic records. Using CT cone beam diagnosis can IRCCS Ca’ Granda Foundation Ospedale Maggiore Policlinico Department of Orthodontics University of Milan, Milan, Italy CASE REPORTS MINERVA STOMATOL 2012;61:457-65 G. FARRONATO, L. GIANNINI, G. GALBIATI, C. MASPERO Long term results of open reduction management of condylar fracture: a 20 years follow-up. Case report Management of condylar fracture may be sur- gical (open reduction) or non surgical (closed treatment). The age of the patient is a key factor in the choice of treatment. Condylar fracture requires early treatment to avoid an- kylosis, to reduce facial deformity, aesthetic problems and functional disturbances. The protocol described in this case report showed excellent results and achieved all the treat- ment objectives. Early mobilization is the key in treating condylar fractures and to al- low functional remodelling. It is important that every specialist should be able to sus- pect condylar fracture when facial asymme- try, joint problems, muscles pain, occlusion or nerve disorders develop after an injury. An early diagnosis can permit an early treatment that prevents esthetic and functional compli- cations. The purpose of this article is to de- scribe the long term clinical and radiological evaluation of unilateral condylar fracture in a teenager patient treated by condylectomy, physiotherapy and ixed appliance therapy. Twenty years follow-up records are presented. Key words: Ankylosis - Surgical procedures, operative - Physical therapy modalities. T reatment of condylar fracture depends on the type of fracture, the co-existence of other fractures, the unilateral or bilateral involvement, the level and displacement of the fragment, the dentition, the occlusion and the age of the patient. 1, 2 Corresponding author: Prof. G. Farronato, Department of Orthodontics, University of Milan, Milan, Italy. E-mail: giampietro.farronato@unimi.it MINERVA MEDICA COPYRIGHT® This document is protected by international copyright laws. No additional reproduction is authorized. It is permitted for personal use to download and save only one file and print only one copy of this Article. It is not permitted to make additional copies (either sporadically or systematically, either printed or electronic) of the Article for any purpose. It is not permitted to distribute the electronic copy of the article through online internet and/or intranet file sharing systems, electronic mailing or any other means which may allow access to the Article. The use of all or any part of the Article for any Commercial Use is not permitted. The creation of derivative works from the Article is not permitted. The production of reprints for personal or commercial use is not permitted. It is not permitted to remove, cover, overlay, obscure, block, or change any copyright notices or terms of use which the Publisher may post on the Article. It is not permitted to frame or use framing techniques to enclose any trademark, logo, or other proprietary information of the Publisher.