For most of history, condylar process fractures were either not treated because the diagnosis was not made, or were managed minimally using external bandages to immobilize the mandible. The beginning of the 20th century is when articles on the management of condylar fractures became common in the literature. Surprisingly, open treatment was mentioned often, perhaps because closed treatment was common and not worthy of publication, which at that time was usually case reports. All methods that one might dream up were applied to condylar fractures, including: 1.Open reduction via a medial approach to the ramus2.Condylectomy to prevent hypomobility3.Varying periods of MMF from none to 6 weeks4.Closed manipulation under general anesthesia This talk will center on historical progress in the treatment of condylar fractures, and arguments such as the need for a period of MMF. References Zemsky JL: New conservative treatment versus surgical operation for displaced fractures of the neck of the mandibular condyle. Dent Cosmos 68:43, 1926 Chalmers J: Lyons Club: Fractures of the mandibular condyle: A post-treatment survey of 120 cases. J Oral Surg 5:45, 1947 MacLennan DW: Consideration of 180 cases of typical fractures of the mandibular condylar process. Br J Plast Surg 5:122, 1952