Randomized clinical trial on condylar fractures: ‘open or closed’?

This letter concerns a major controversy in maxillofacial trauma care: whether to perform open or closed treatment of a mandibular condyle fracture. A randomized clinical trial (RCT) on this subject has been underway since 2013 at the Academic Medical Centre in Amsterdam, University Medical Centre in Groningen, Erasmus Medical Centre in Rotterdam, Spaarne Hospital in Haarlem, and Isala Clinics in Zwolle. Other researchers have tried to do this before1,2. Until now, no research group has succeeded in executing a RCT with sufficient power to answer the question as to whether one should perform surgery on a mandibular condyle fracture or not.

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