Over the last 30 years, fracture management has evolved toward a tendency now in many units to carry out open reduction and internal fixation, rather than the original methods of closed reduction. However, there are also important differences that significantly influence the management of facial fractures. This study discusses the traditional wire osteosynthesis method for management of facio maxillary fractures.Cranio-maxillofacial injuries affect a significant proportion of trauma patients. They can occur in isolation, or in combination with other serious injuries, including cranial,...