This chapter discusses management of acute facial soft tissue injuries, where an otolaryngologist may very well provide immediate and life-saving care such as establishing a stable airway or controlling life-threatening hemorrhage. Head and neck soft-tissue injuries following a violent mechanism such as high-speed motor vehicle accident should raise suspicion for other life-threatening injuries such as c-spine or intracranial injury. Any soft-tissue facial injury may signify trauma to a deeper structure, and the examiner should be vigilant to rule out further occult injury. Polytrauma patients are often assessed using the abbreviated injury scale (AIS). Once all injuries are accounted for, a score is calculated using the value of the most serious injury in each defined region, where the score is called the injury severity score (ISS). Soft-tissue injuries may be classified as abrasions, lacerations, incisions, avulsions, and burns. Facial analysis incorporates the use of both soft tissue and bony landmarks.