The aim of the present study was to analyse the patterns and treatment modalities of maxillofacial fractures treated surgically during the last decade at the Department of Maxillofacial Surgery of University Hospital Center of Coimbra, Portugal. The medical records of 1786 patients, and 2212 maxillofacial fractures treated surgically between 1 January 2002 and 31 December 2011 were analysed retrospectively. Age, sex, type of fracture, association of fractures and methods of treatment were studied. From the 2212 fractures operated in the last 10 years, 77.55% were in male patients, predominantly in young adults, between 19 and 30 years. Pediatric fractures accounted for 12% of cases. The most common fractures were jaw (35%), malar (22%), nasal (21%), LeFort (7%), zygomatic arch (5%) and orbital floor (5%). Submental intubation was used in 1.51% and tracheostomy in 0.83% of patients. The challenging ballistic trauma facial fractures corresponded to 1.06% of cases. Open surgery with internal stable fixation was indicated for most of the patients. There was a progressive decrease in maxillofacial fracture cases in the last decade. This large 10 years review study could improve our understanding of the pattern and treatment of maxillofacial fractures in Portugal. Maxillofacial, facial, fracture, trauma, retrospective.