In today's world high velocity trauma is not uncommon and most of the road traffic accidents involve trauma to head and neck region. For purposes of initial evaluation, Injury to the frontal bone should be regarded as head injuries. The majority of these patients are victims of automobile accidents or fall from height with multiple injuries requiring a multispecialty team approach and complete evaluation. The standard trauma protocol must be followed with emphasis on ensuring an adequate airway, breathing, circulation, central nervous system status, and cervical-spine. Any other life-threatening injuries take precedence over the sinus fracture. Management of a case of frontal sinus fracture with loss of anterior table is presented.