Minimally displaced fractures may be managed by observation but, if there is any question as to the possibility of a deformity or complication, the fracture should be explored. At ChoRay hospital, from the year of 2000, we applied many new technics to manage the trauma for example: end to end anastomosis of the trachea (11), endoscopically orbital decompression, opened reduction with internal fixation for the maxillofacial trauma, reduction associated with endoscopic sinus surgery for the frontal sinus trauma (2, 10, 15)...