الفهرس 
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Abstract
• Injuries in Maxillofacial trauma are relatively uncommon in children. As age increases, the severity of injuries sustained also increases.
• In our study, boys more commonly sustained maxillofacial injuries (77.78%) compared to girls (22.22%) possibly due to more outdoor activities by boys.
• Our study showed that the incidence of maxillofacial fractures in children peaked in the 6 to <12 years group.
• The most frequent cause was accidental fall (58.73%), followed by RTAs by (31.75%). Increased incidence of falls seen in our study could be attributed to the vast majority of the area of the Upper Egypt being rural with low socio-economic status and parental neglecance.
• There is a need at a national level for a public, parent and teacher education program on child care and safety.
• The results also showed the high incidence of sports injuries after age 12 years which mandate the use of mouth guards and other protective equipmentin certain sports.
• The most common bone to be fractured was the mandible in our series (49.38%). Of these, 45% of the fractures were found in the parasymphyseal region and 22.50% in the condylar region.
• Most of the fractures were neither severe nor complicated and were followed-up by observation only followed by closed reduction with conventional means like maxillomandibular fixation by Eric Arch bars, whereas surgical intervention was reserved for only severely displaced fractures.
• ORIF using 2.0 mm titanium mini plates and screws was carried out under general anaesthesia in severely displaced fractures
• Pediatric patients with maxillofacial fractures must be followed longitudinally for the management of RMOs and late complications such as TMJ dysfunctions or growth disturbances.
• For the surgeon managing pediatric maxillofacial trauma, an in depth understanding of these fractures is essential for good outcomes. The maintenance of mandibular projection, symmetry, and a functional occlusion through closed technique remains the cornerstone in the treatment of mandibular fractures in children.