A polytrauma often needs an interdisciplinary team approach. Maxillofacial injuries such as maxillary or mandible fractures can occur in about 20% of cases. Injuries to the neck due to explosion injuries can cause severe and lifethreatening situations, especially in facial burn injuries. Airway management may be aggravated due to inhalation injuries. Case report: a 19 year old fire fighter suffered a combination of a high velocity shrapnel injury and a severe facial burn. We show the successful management of an interdisciplinary team approach of plastic and maxillofacial surgery. Keywords: Facial burn, shrapnel injury, explosion injury, MASCAL