With the increasing use of sustainable energy sources, the electric scooter has become a widely used vehicle. The aim of the study is to analyze the types of facial fracture related to road traffic accidents in order to outline the need of dedicated road rules. An observational, retrospective, multicentric study was carried out at the Maxillofacial Surgery Units of six Italian hospitals. Fifty patients (mean age was 34.76 years) from January 2020 to January 2024 were enrolled. The severity of trauma was evaluated by the Facial Injury Severity Scale (FISS) by Bagheri et al. Most of the accidents occurred during the day and the weekend in spring or summer, 24 drivers collided with infrastructures or pedestrians, while 26 involved other vehicles. 33 vehicles were rented, 17 were privately owned. 43 subjects were not wearing helmets, 5 patients were drunk and 3 patients took drugs. In order of frequency, the facial fractures involved: ZMOC (n=16), mandibular condyle (n=13), nasal bone (n=11), orbit floor (n=8), and mandibular body (n=7). Fractures such as Le Fort I (n=4), NOE (n=4) and mandibular ramus (n=4) were less common. Other types of facial fracture were rare. 30 patients reported multiple facial fractures. The vast majority of the cases showed a low severity grade FISS score. 15 patients suffered polytrauma. The mean hospitalization time was 8.3 days. As accidents with electric scooters are increasing, it is important to characterize the most frequent facial fractures to improve the patient management and encourage the introduction of new road rules.