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A report on the management of 60 patients with missile injuries to the soft and bony tissues of the maxillofacial region is given. The period between the injury and the beginning of the treatment was on the average 2.2 days. There were 15 penetrating, 36 perforating and 9 avulsive wounds. A primary wound closure was carried out after gentle debridement of the soft and bony tissues and the using of the bone suturing as the only method of fixation. In 4 cases the secundary wound closure was performed following an open wound management. There was a primary wound healing in 31 patients. The 22 cases of disturbed wound healing partly associated with osteomyelitis occurred frequently in patients suffering from perforating wounds who came to the the hospital more than 4 days following the injury.