IntroductionElectric scooters (e-scooters) are becoming increasingly popular amongst the public. Oxfordshire is included as part of the government led e-scooter trial. This study aimed to evaluate maxillofacial injuries occurring following e-scooter accidents. MethodsA single-centre retrospective study was conducted from October 2022 – September 2023 reviewing all e-scooter related maxillofacial injuries which presented to the John Radcliffe Hospital in Oxford. ResultsDuring the study period, fourty-nine patients (mean age 28 years; range: 13-48 years, 32 (65.3%) male) suffered a maxillofacial injury from riding an e-scooter. Twenty patients (40.8%) were under the influence of alcohol and no individual was recorded to have worn a helmet at the time the injury occurred. Ten patients (20.4%) suffered a facial fracture [two mandible fractures, three zygomatic-orbital fractures, one nasal fracture and four patients with multiple fractures involving sphenoid, zygomatic-orbital and maxillary sinus]. Four (40%) of these facial fractures required surgical management. This included one patient with an orbital floor fracture and an associated inferior rectus entrapment, a surgical emergency. Thirty-three patients (67.3%) sustained facial lacerations and nine patients (18.4%) sustained dental trauma. ConclusionsMaxillofacial injuries occurring from e-scooter injuries are significant and pose a notable risk to safety. Our study highlights poor compliance and emphasises the need to improve safety through public education, focusing on sobriety. Considerations should be given to speed limitations, safety clothing, e-scooter training and whether helmets should be mandatory. The Oxfordshire trial is due to end in May 2024 and our results can inform and influence future legislation.