The management of condylar fractures remains

controversial in maxillofacial surgery. The literature reports that

mandibular condyle fractures account for 25% to 35% of all mandible

fractures. The condyle’s anatomical intricacies warrant the

consideration of a conservative modality that produces optimum

results while minimising potential surgical complications and patient

discomfort. Herein, we report a male patient, 22, admitted to

the emergency department following a violent encounter with

a fracture of the left condyle with normal occlusion and no

displacement. The cooperation of the patient, his sound health and

type of fracture allowed the on-call maxillofacial surgeon to provide

the patient with two treatment modalities: conservative approach

without maxillomandibular fixation (MMF) or with MMF. The patient

decided on conservative treatment with no MMF, regular follow-up

visits, and only a soft diet and rehabilitation of the jaw. The

patient’s follow-up visits confirmed correct bone positioning and

sound bone healing. The patient reported normal occlusion, no

problems with mouth opening and no associated pain. The prescribed

modalities for condylar fractures vary, with some advocating

observation, closed reduction, open reduction or intraoral

approaches. This case argues for a conservative treatment method

for patients with sub-condylar fractures with no displacement and

sound cooperation. Rigorous follow-up visits are critical for

monitoring proper bone healing and can remove unwanted pain, TMJ

problems and 6-week muscle immobilization associated with MMF.