The fractures of the frontal sinuses represent around 5-15% of the total combined cranio-facial trauma. Frontal bone fractures are usually produced through impaction, also leading to injuries of the paranasal, orbital and frontal sinuses. As a general rule, open reduction and fracture immobilization with wicks and osteosynthesis plates is bespoken. There are many clues regarding surgical procedure in case of frontal bone trauma. First of all, and probably the most obvious of them all, is the case of impacted fractures. The current paper points out the benefits of the huge progress made in the medical field during the last 20 years in relation to the surgical treatment and imagistic methods of diagnosis in case of major cranio-maxillofacial trauma. Immediately after the imagistic diagnosis of the comminuted frontal bone and the superior eye-socket wall fractures, the surgical treatment is being elected, more specifically the reduction and immobilization of the fractures. Material used: osteosynthesis plates, titanium screws and wick, the practitioner considering clinical, paraclinical and anamnestic data.