The text discusses nerve injuries in the maxillofacial region with details on their etiology and subsequent management. The management of facial paralysis is one of the most complex areas of reconstructive surgery. Given the wide variety of functional and cosmetic deficits in the facial paralysis patient, the reconstructive surgeon requires a thorough understanding of the surgical techniques available to treat this condition. The authors focus on surgical management of facial paralysis and the treatment options available for acute, intermediate and chronic facial paralysis.