We performed detection, examination and surgical treatment of trauma injuries of the main trunk or branches of the facial nerve among 16 patients. The main complaints of patients were related to aesthetic defects of tissues and organs within certain areas of the face or the whole half on the side of the injury and their functional disorders. The most frequent cause of injury was yatrogenic nerve damage. In the case of yatrogenic causes of injury, there are following groups of surgical interventions: surgery of the peritoneal salivary gland; aesthetic operations of the face in case of pathological processes or traumatic injuries of the temporal-lower joint and lower zone of the face. The following surgical treatments were used to repair damage to facial nerve structures: nerve suture; transposition of facial nerve branches; neuroplasticity; miofastsialny plasticity; neuroplasty in combination with the transplant of the revascularized neuromuscular transplant of the gentle soapy. In the distant postoperative period, complete recovery of facial nerve branch function and effectors, respectively, occurred among 10 patients. Partial recovery of their function - among 3 patients and recovery were absent among 3 clinical cases.

During the period 2017-2021, 112 patients with fractures of the zygomaticomaxillary and zygomatic-orbito-maxillary complexes were diagnosed and surgically treated. The patients were divided into 2 groups. In the first group, after a comprehensive study of the clinical and radiological picture of the injury area, 86 patients were treated in the traditional way. The essence of the method was to create access through a small puncture-incision along the lower edge of the zygomatic bone and perform the reposition of fragments using the hook of A.A. Limberg. The remaining 26 patients were treated with open reposition and rigid fixation of bone fragments with transconjunctival, intraoral, and sometimes blepharoplastic incisions using titanium microplates and micro-screws. The results of the “traction test” were checked to identify the infringement of the lower oblique muscle of the eyeball. A computed tomography scan revealed a symptom of a “hanging drop” in combination with damage to the bottom of the eye socket. Despite such disadvantages as the need for a longer intervention, high financial costs and additional skills of the operating surgeon, after the treatment of the second group of patients, there was a decrease in postoperative complications and thus an improvement in the results of surgical treatment.