Abstract： A total of three hundred and fourteen patients with maxillofacial fracture under 14 years old were treated at Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Zhengzhou University from October 2010 to October 2017 were collected and retrospective analysis was conducted.Age,gender,injury factors,type of fracture,associated injuries and treatment has been analysed.There were 196 male and 118 female.The most common injury factor was fall (148 cases),accounting for 47.1％ of all patients.The most common fracture type was mandible fracture (221 cases).Children are not very cooperative with clinical examination,which often leading to misdiagnosis.Age,gender,fracture injury factors,comorbidity and treatment were analyzed to provide the reference for the prevention,diagnosis and treatment.