This chapter intends to provide an overview of faciomaxillary injuries. Emergency treatment includes posterior nasal balloon tamponade using a 12 gauge Foley catheter to control hemorrhage. Airway obstruction, if not properly treated or detected, is associated with high mortality. Soft tissue injuries are better treated conservatively; aggressive debridement is avoided. Associated brain, cervical spine, chest and abdominal injuries frequently occur and may require priority treatment. Fractures can be treated later. Occlusion defects and restricted ocular movements are the main indications for surgery. Open reduction and internal fixation of facial fractures results in a patient with a satisfactory facial appearance and restoration of function.