An Overview of the Post-Traumatic Mandibular Bifid Condyle.

Objectives: To review the main clinical, radiological and treatment aspects of patients with post-traumatic bifid mandibular condyles (BMC), to report a new case of BMC in a patient with history of trauma and to discuss the long term adaptive changes of the opposite condylar head. Methods: An electronic search in major medical databases was accomplished. Case series and case reports, prospective or retrospective cohort studies of patients with characteristics of traumatic BMC were included. Extracted data included demographic variables, clinical aspects, imagining examinations and treatment methods performed. Results: The systematic review included 60 patients with 72 post-traumatic BMC. The unilateral involvement (73.3%) and mediolateral condylar orientation (75%) were the most common types of post-traumatic BMC described. Most of the patients were symptomatic, with ankylosis (60%), limitation in mandibular movements (55%) and facial asymmetry (41.6%) being the most common clinical signs. Conclusion: The presence of the post-traumatic BMC is accompanied by important clinical signs, a correct and an early evaluation being essential for an optimal treatment.