This chapter discusses faciomaxillary injuries, where fractures of the facial skeleton including the nose, mandible, zygoma and orbit are most commonly due to accidental trauma, physical combat or sports injuries. Maxillofacial fractures, besides causing cosmetic deformity, loss of function and brain damage can also result in endangerment to the airway. Interdental wiring, bone plating, transosseous wiring and intermaxillary fixation may be required to reduce the fracture segments in fracture zygoma and mandible. Nasal obstruction is present due to blood clots, septal haematoma or septal deformity. Subcondylar fractures of the mandible are the most common fractures of lower third of face. In severe forms, fracture of nasal bones may be associated with fracture of frontal process of maxilla and of ethmoid and lacrimal bones producing a flat profile of face. Anterior rhinoscopy should be carried out to ascertain nasal patency and to remove any blood clot.