Facial injuries are one of the most common types of serious injury that occur when the facial bones are broken. Treatment often requires immediate hospitalization and maxillofacial surgery. Polytrauma patients can be managed acutely, with the exception of nasal fractures, as many of the facial traumas are treated by closed reduction. In the case of the nasal fracture, it is helpful to wait for a resolution of swelling. Even the fractured quadripod/ quadramalar complex can be managed and often treated from an intraoral approach and a rigid fixation at the zygomaticomaxillary buttress. When maxillofacial fractures are complex or extensive, multiple incisions to expose the bones and a combination of wiring or plating techniques may be needed. The repositioning technique used by the Oral and Maxillofacial Surgeons depends upon the location and severity of the fracture. In the case of a fracture in the upper or lower jaw, metal braces may be fastened to the teeth and rubber bands or wires can be used to hold the jaws together. In case of patients with few or no teeth, dentures or specially constructed splints may be required to align and secure the fracture. The principles for treating facial fractures are the same as for a broken arm or leg.