Abstract: Fractures of the mid face pose a medical complication for the their socio - economic impact, complexity ,frequency. Inter disciplinary approaches and up-todate diagnostic and surgical techniques provide favourable results in the majority of cases though. Traffic accidents are lead to trauma mostly in male patients Treatment algorithms for nasal bone fractures, maxillary and zygoma fractures are widely agreed lead to trauma in frontal sinus and orbital .As for the fractures of the frontal sinus a strong tendency towards minimized approaches can be seen. Obliteration and cranialization seem to decrease in numbers. Some critical remarks in terms of high dose methyl prednisolone therapy for traumatic optic nerve injury seem to be appropriate.