Objective : The purpose of this study was to assess the craniomaxillofacial injuries managed at the Thunder Bay Regional Health Sciences Center (TBRHSC), Thunder Bay, Ontario, Canada Study.

Design : The records of the 1077 craniomaxillofacial injuries for TBRHSC over a 10-year period were reviewed. A number of parameters, including age, gender, race, mechanism of injury, type of facial injury, associated injuries, treatment modality and post-operative complications assessed.

Results : Males between the age of 18–25 sustained the majority of the injuries. Most of the fractures were the result of interpersonal violence, with alcohol and drug abuse being major co-factors. First Nations people comprised 70% of the injuries, despite only consisting of 17% of the population of the area. The most common fracture site was mandible (29%), followed by malar (22%) and dentoalveolar injuries (20%). There was a fracture recurrence rate of 7% in the trauma population.

Conclusion : The findings of this study were similar to those reported in the world literature with regard to incidence and mechanism of fracture pattern as well as their related co-factors. Education, preventive measures along with an after-care programs have been developed to assist patients whom have suffered craniomaxillofacial injures.