Penetrating Craniofacial injury is challenging, as head and neck region comprises complex vital structures and those injuries may have a high potential to cause death or catastrophic events. Treatment modalities depends on the overall condition of patient. Stabilizing the patient and managing according to ATLS protocol is of great importance in reducing the mortality and morbidity rate. Accurate assessment of these injuries with radiological assistance is mandatory. Here we are presenting an unusual case of  penetrating craniofacial trauma and its management.