Facial fractures and concomitant cranial injuries carry a significant potential for mortality and neurological morbidity in young adults. Aim To analyze the characteristics of head injuries and associated facial injuries and the management options and outcome following craniofacial trauma. Materials and methods This retrospective study was performed at Justice K. S. Hegde Charitable Hospital and AB Shetty Memorial Institute of Dental sciences, Deralakatte, Mangalore. After Ethical Committee approval, hospital charts and radiographs of 100 consecutive patients treated for craniofacial trauma by the Department of Oral and Maxillofacial Surgery and Department of Neurosurgery between January 2004 to December 2004 were reviewed.