**5. Reconstruction of anterior cranial fossa, orbital roof, and frontal bone**

Severe craniofacial injuries may end with head injuries, with severe damage to the frontal bone, roof of the orbit, nose, and anterior cranial fossa. After the recovery of the patient from head injuries, the anterior cranial fossa is approached through bicoronal flap with craniotomy. The brain and dura are retracted backward, and the dura is repaired by the galea or temporalis muscle. The dura should be closed as watertight closure, the roof of the orbit and anterior cranial fossa was reconstructed by bone graft from the iliac crest with silastic, and the frontal bone was reconstructed by bone graft. The author successfully reported few cases with severe craniofacial trauma treated by this technique with collaboration with neurosurgeons.
