The timing of operation is also important and should be early within 5-14 days at the latest.A minimally invasive approach to the fracture site is a good alternative method. It is simple and effective, with a lower complication rate. Accurate restoration of facial form and function is very important. An organized, yet flexible approach is required to achieve consistent anatomic reduction of fractures. The order of repair is not critical.The 2 basic ways to address the treatment sequence for panfacial fractures have traditionally been with bottom-to-top or top-to-bottom techniques. However, the basic tenets of treatment are establishing fixation from a stable segment to an unstable segment while maintaining the occlusal relationship.The majority of fractures of the panfacial skeleton may be managed safely using combination of plates with wires in selected fractures. The selective use of wires in combination with plate fixation shows no significant different in the result in comparison with full plating technique regarding stability, complication and final outcome with financial benefit by reducing the cost of the plates.