Nerve injuries following maxillofacial trauma represent a significant clinical challenge due to their impact on sensory and motor function, as well as patient quality of life. Damage to the facial and trigeminal nerves may result in paresthesia, anesthesia, dysesthesia, and functional impairments affecting speech, mastication, and facial expression. This study aims to analyze the types of nerve injuries associated with maxillofacial trauma and evaluate modern approaches to their diagnosis and reconstruction. A mixed-methods study involving 102 patients treated between 2019 and 2025 was conducted. Quantitative analysis assessed injury types, recovery rates, and outcomes of different treatment modalities, while qualitative analysis examined clinical features and patient-reported outcomes. The findings indicate that early diagnosis and timely intervention significantly improve recovery rates. Microsurgical repair, nerve grafting, and regenerative therapies demonstrate promising results in restoring nerve function. The study highlights the importance of an interdisciplinary approach in managing post-traumatic nerve injuries.