The extent and pattern of soft tissue and osseous facial injuries vary according to the energy of impact. Isolated fracture is most common with lower energy trauma, whereas high energy blunt and penetrating trauma results in a more complex, less predictable injury pattern. The reason behind this is that the motor branches of the forehead muscles derive from both the ipsi- and contralateral facial nuclei. In both types of facial nerve paralysis speech, chewing and facial expression are severely impaired. Depending on the location of the lesion, the affected patients suffer from additional disturbances of tear and saliva secretion, hearing or taste.

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The occipitofrontalis muscle comprises of two main sections. These sections include the occipital (located posteriorly) and frontal (located anteriorly) bellies. The frontal belly is the major contributor to facial expression.¹ Origin

The nasalis muscle is innervated by the buccal branch of facial nerve (CN VII) and vascularized by the superior labial, septal and lateral nasal branches of the facial artery, as well as the infraorbital branch of the maxillary artery. Winegar BA, Murillo H, Tantiwongkosi B. Spectrum of critical imaging findings in complex facial skeletal trauma. Radiographics. 2013;33 (1): 3-19. doi:10.1148/rg.331125080 - Pubmed citationAlsafar MCER, Werghi N, Al-Muhairi H, Alsafar H. Using facial images for the diagnosis of genetic syndromes: a survey. in International Conference on Communications, Signal Processing, and their Applications, 2015. Vitamin E is found in avocado, nuts, seeds, and vegetable oils. It helps slow down aging and makes your skin healthier. For a complex fracture with multiple broken bones, you’ll need facial reconstructive surgery. Specific treatment depends on the location and extent of your facial injury. Closed reduction In the FTICR MS, ions were generated using a Z-Spray ESI source (Micromass, UK). Ions were accumulated for about 6 seconds in a linear hexapole trap and then injected into the ICR cell via a quadrupole deflector and an rf octopole ion guide. Target ions were isolated using a stored waveform inverse Fourier transform (SWIFT) excitation pulse and subsequently irradiated with 50 FEL macro pulses to record the IRMPD spectra. IRMPD spectra were obtained by monitoring the wavelength-dependent photo-fragmentation, using a 5 cm −1 step size and two summed mass spectra at each wavelength. Two major fragments ( m/ z 111 and 97) were observed; at the dominant bands only m/ z 97 was observed presumably due to secondary fragmentation of m/ z 111 into m/ z 97.