Maxillofacial trauma in children is managed differently than in adults. When treating pediatric maxillofacial fractures, a thorough understanding of facial skeletal development is required to avoid pitfalls. Surgical options for rigid fixation may be limited by any number of factors including long-term facial growth disturbances, incomplete eruption of permanent dentition, risk of temporomandibular joint ankylosis, a lack of skin folds to hide external scars, and the desire to avoid multiple or prolonged anesthetics in younger children. This panel will offer three perspectives representing the fields of pediatric otolaryngology, facial plastic and reconstructive surgery, and oral & maxillofacial surgery. All three panelists regularly perform complex reconstructive maxillofacial procedures in children and cover maxillofacial trauma at a level 1 pediatric trauma center. A series of case presentations will allow attendees to gain a greater understanding of the nuances of treating frontal sinus, orbital, midface, and mandibular fractures in children and adolescents. Through complementary, multidisciplinary perspectives, a variety of topics will be covered including a review of options for mandibular-maxillary fixation in young children (Ivy loops and circum-mandibular wiring), indications for stone modeling and fabrication of occlusal splints, when to involve orthodontics, the use of virtual surgical planning technology, low cost in-house 3D printed modeling, selection of fixation materials, use of resorbable plates, and soft tissue approaches to minimize facial scarring.