Injury to the craniomaxillofacial (CMF) area has major implications for mortality and morbidity depending
on many factors that influence the level of treatment. In warzones, the extent of CMF injuries is amplified
mainly due to the damage caused by bomb blasts. This study presents CMF injury as the result of war
incidents to highlight the differences in injury type as well as the impact that an austere environment has on
treatment. The author has unique insight and experience of treating CMF injuries in Misrata, Libya, where
there is ongoing civil conflict. Surgeons in Libyan hospitals require intensive training intervention to
effectively manage gunshot injuries, blast injuries and disasters and while these cases represent an austere
environment, conclusions can be drawn for recent incidents involving terrorism. This study presents an
analysis of injury patterns of patients presenting with CMF trauma during the Misrata battle of the Libyan
conflict in 2011.