ABSTRACT
Penetrating Knife injuries to the maxillofacial region are quiet rare and infrequently reported. In these few reports knife involves various fossae: Orbit, Maxillary and etmoidal sinus, blood vessel or throat. It can cause hemorrhages, neurological lesions, visual acuity loss and fracture. The reported case is a 28 y/o man in whom a knife has penetrated from below the zygomatic arch crossing the intercondylar notch and coronoid, petrigoid plate and reach throat fossa without affecting vital structures such as skull, sinuses or main vascular branches. The approach to treatment and surgery plan should be V multidisciplinary. Surgical removal of complicated foreign body penetrations involving vital structures in maxillofacial region, is a very tender and sensitive approach. Knife specially endangers some important organs such as facial nerves and main vascular trunks. The knife was removed from the entrance wound in throat and no complications were observed either during or after surgery with any untoward sequelae