This article describes a case of early mandibular condylar fracture in a female patient. Follow-
up visits over about 23 years without treatment showed completely re-stabilized
anatomy and function after the pubertal growth spurt. Temporary ankylosis and lack of
growth with severe deviation and facial asymmetry had been initially observed. The management
philosophy of pediatric condylar fractures is discussed and a conservative
approach is suggested for such cases.