Background: maxillofacial fractures incidence varies between different nations, mandibular fractures are the most common, multidisciplinary approach is often required, and early consultation with other specialties is recommended also understanding of common posttraumatic complications will guide surgical management. Aim of the work: to analyze the outcome of maxillofacial fractures fixation helping optimization of surgical practice and medical service appraisal. Patients and Methods: the data were retrospectively collected from the medical records of 76 cases treated at Plastic Surgery Department, Al-Azhar University, from 2014 to 2017 and patients were examined as full maxillofacial examination. Results: the total number of patients with maxillofacial trauma presenting to Plastic Surgery Department, during the period from 2014 to 2017 was 76 patients. Males were more frequently affected than females, where males accounted for 92.1% (70 patients) and females accounted for 7.9% (6 patients) of the study population. The ages of the patients ranged from 4 to 61 years, with a mean of 24.84 ± 10.57 years. Road traffic accident (RTA) was the most common cause of trauma, 42.1% of cases. A total of 43 (56.5%) cases had mandibular fractures. Most of the fractures were treated by means of open reduction and internal fixation using plates (67 cases; 88.2%), whereas 6 (7.9%) cases were treated by means of closed reduction and maxillo- mandibular fixation and 3(3.9%) were treated by splinting. Conclusion: the main etiological factor in maxillofacial injuries is RTA with males between 11 and 30 years of age being affected predominantly.