INTRODUCTION: The proposed MSCT protocol allows early detection of associated facial and skull base fractures, while the classification of the fracture patterns can help in the selection of therapeutic treatment. OBJECTIVES: To determine the value of a defined radiological CT protocols and the incidence of radiologically diagnosed cranial base fractures associated with facial fractures, describe the imaging features of the associated fractures and to classify certain types of fractures in the fracture patterns SUBJECTS AND METHODS: The study included 180 patients with associated fractures of the face and skull base diagnosed by CT. The group of respondents consisted of 158 men and 22 women, median age 41 years, range 18 years to 88 years. For the purpose of comparing different diagnostic computed tomography protocols, the study included 109 patients who have had an examination done on SSCT and 16-slice CT device. For the purpose of the classification of fractures in the fracture patterns, the study included 180 patients with associated face and skull base fractures who have had an examination done on 16-slice CT device. RESULTS: The incidence of associated facial fractures and skull base in patients with blunt head injury int he study is 45.2%. Multislice CT, in 99.4% of patients with craniofacial fractures, adequately shows the extent of the fracture. Statistical analysis singled out three fracture patterns of the associated facial and skull base fractures. CONCLUSION: MSCT is better in depiction and localization of the associated face and skull base fracture than SSCT, and thus better for the diagnostic method. The analysis of this type of imaging display enables development oft he new fracture patterns or classifications. Clearly defined MSCT protocol applied in all patients with blunt head injury and a suspicion of craniofacial fracture enables the systematic standardization of the diagnostic treatment of patients with such indication.