Introduction: The incidence of maxillofacial fractures varies worldwide. The information on epidemiological characteristics in association with the etiology and incidence of injuries help in prevention and appropriate treatment of such injuries. Purpose: Thus, the aim of this retrospective study was to describe the prevalence, incidence, pattern, etiology, management of trauma cases at Shyam Shah Medical College (S. S. M. C), in a span of 8 years. Patients & Methods: The data collected included age, sex, date and month (seasonal variations), etiology, site of fracture, associated injuries, treatment modalities used for the management of maxillofacial trauma patients reporting in the Department of Dentistry and emergency casualty department of S. S. M. C., Rewa from February 2013 till January 2021. Results: A total of 892 cases depicted fractures of the facial skeleton. The mean age was 36 years. Though patients ranging from 4-75 years reported for treatment. Males outnumbered females with a male: female ratio of 8:1. Injuries commonly occurred in the 21-30 years age group. Road traffic accidents (RTAs) were the most common etiological factor in 631 patients followed by inter personal violence (IPV) in 147 patients. Mandibular fracture was the most frequently encountered fracture. The seasonal variation showed the peak incidence of cases in the months of January and December with 23.4 % of total patients. 15.13 % of the cases were managed conservatively, 7.29% patients with debridement and soft tissue repair, while closed reduction was used in 60.54 % of patients and 17.04 % were treated with surgical open reduction and internal fixation. There was no serious complication in any of our patient in the average follow up span of 6 months. Conclusion: This study verified a young male predominance involved in maxillofacial trauma. RTAs contributed as the major etiological factor. Thus, similar long-span multi centric epidemiologic studies may help government and authorities to plan periodic review of driving skills & strict implementation of traffic rules policies.