This study aimed to determine the incidence, aetiology, types of injury, management and the outcomes of
the treatment of maxillofacial trauma among paediatric patients treated in Faculty of Dentistry, University of
Malaya. A retrospective study (2005-2015) was carried out which involved retrieving past records (manual/
electronic form) of paediatric patients (under 16 years old) who presented with maxillofacial trauma. Data
collected was organized using descriptive statistics with SPSS version 12.0.1. The total number of patients
was 120 but only 93 had complete records. The ratio of boys to girls was 2:1. The main cause of injury
was falling (54%) followed by motor-vehicle accident (MVA) (42%), assault (3%), and sport (1%). The total
count of soft tissue injury only was about 41% while 59% presented with maxillofacial fracture. Midface
were the most common fracture occurred followed by mandibular fractures. Both fractures were mostly
managed by open reduction and internal fixation (ORIF) using non-resorbable plates except for condylar
fractures which were mostly managed conservatively. In conclusion, the incidence of maxillofacial trauma
in children increased within the time frame of this study. The most common aetiology was fall. Hard tissue
injury accounting for most of the cases whereby midface was the most common site involved. ORIF was the
treatment of choice for most of the fracture cases except for condylar fractures (conservative management).
All patients had achieved reasonable outcomes postoperatively in terms of form and functions.