Decision making on treatment of TMJ fractures is complex. It should be based on anatomical site, patient size and age, fracture configuration and desired function. CT imaging is essential. Skull or dental radiographs are not adequate to assess the extent of TMJ fractures.
Evidence-based approach to TMJ fractures in dogs and cats is lacking. The treatments recommended here are based on clinical experience of veterinary and human CMF surgeons.
Restoring functionality and range of motion as well as maintaining occlusion are the primary goals of TMJ fracture treatments.
Condylectomy is a salvage procedure that may result in postoperative malocclusion.