The selection of surgical approaches for mandibular condylar fractures faces dual challenges of anatomical complexity and the risk of complications. This article reviews conventional approaches and proposes a classification system centered on anatomical pathways. In light of the growing emphasis on aesthetic demands and advances in minimally invasive techniques, the evolution and implementation of the “facial scarless” concept are discussed. Particular attention is given to the endoscopic intraoral and retroauricular transmeatal approaches, with analysis of their clinical applications, advantages, and limitations, aiming to provide insights for optimizing individualized surgical strategies in the management of condylar fractures.
