significant physiologically, functionally, and aesthetically problems. The purpose of this study is to evaluate the pattern of facial injuries presented to Plastic Surgery Department at Sohag University Hospital. Patients and methods: A retrospective analysis of patients with facial injuries presented to the plastic surgery department in a 10 year duration (1999-2009) of 1830 cases. Results: Patients’ records from 1999 to 2009 were reviewed. A total of 1830 cases of facial injuries were recorded; 1390 males (75.96%) and 440 females (24.4%) were involved. Mean age was 25.8 years. Road traffic accidents were the common cause of mandibular fractures, accounting for 32% of entire sample, followed by home accident (falling from height especially in kids) 27.5% and assaults 20%, Animal bites 10%, Industrial accidents 10% and sport injuries 0.5%. Sex distribution showed a male to female ratio of 3.1:1. Conclusions: The causes and incidence of maxillofacial injuries vary from other countries. The data can provide a guide to the design of programs geared toward prevention and treatment.