Although certain principles for management of facial fractures have not cha
nged, new avenues reach this goal with greater precision and less morbidity
. Ey reviewing these recent developments one can see the enormous potential
for future develpments in technology, techniques, and biomaterials. Develo
pment of tertiary care centers for the multiple trauma victim has improved
management of facial trauma by bringing a large experience to a team of ind
ividuals where creativity flourishes. Major leaps in diagnostic skills and
technology now allow us to answer some to the controversial treatment issue
s in facial trauma. This article hopes to review some old concepts and look
at new approaches in managing facial fractures.