Australian Aboriginal men represent a subpopulation at high risk for injury and facial trauma in particular. With the highest proportion of Indigenous people and lowest density population, the Northern Territory of Australia bears a unique geographic and demographic profile. The Northern Territory is in an unparalleled position to capture the rates and determinants of facial fractures in Indigenous men.

Methods: A retrospective chart evaluation was conducted evaluating a number of determinants of facial fractures between 2006 and 2009.

Results: There were 238 patients presenting with facial fractures over this 4-year period, equating to an incidence of 181 cases per 100,000 per year.

Discussion: The incidence of facial fractures in Indigenous men is one of the highest in the world. Adequately describing facial trauma epidemiology is essential in order to justify and target public health interventions to this field.