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treatment modalities and complications of maxillofacial fractures in a five years period and to compare complications of the various treatment modalities. Methods: Complete records of data for two hundred and forty three patients who sustained two hundred and eighty six maxillofacial fractures were collected and analyzed. For medically fit patients with single fracture, the postoperative complications of the various treatment modalities were compared and analyzed. Results: A total of 194 patients with single fracture were analyzed. The complication rate for those treated with open reduction and internal fixation (ORIF) was much lower compared to those treated with closed reduction, 5% and 21% respectively. Conclusion: ORIF is the treatment of choice for most maxillofacial fractures and associated with lower complication rate compared with closed modalities.