Facial trauma (FT) due to vehicular accident is considered worldwide as a high impact event. The World Health Organization (WHO) in 2013, reports that every year 50 million people suffer from trauma due to a vehicle accident. The objective is to determine the prevalence of FT due to vehicular accident with the data obtained in the main hospitals of the larges population cities in Ecuador and carry out an epidemiological framework in 2017 Were included 762 patients with facial trauma admitted to the emergency area of the 11 most representative hospitals in 8 Cities of Ecuador in 2017. The prevalence of Facial trauma in Ecuador was 3%. There was a predominance o male with 77.60%. Regarding the age, young adults (20-44 years) with 61.81% was the most prevalent. According to the type of vehicle, there was a predominance in cars with 58%. The upper third was the most affected with 46%. In conclusion, Ecuador needs to take measures to strengthen road safety in order to create strategies to reduce current statistics and avoid this seriou problem that entails serious injuries, disability or even death.