Rehabilitation of a Midfacial Defect Using a Two- Piece Maxillofacial Prosthesis: A Case Report

Maxillofacial defects and their rehabilitation are a major concern in this socially productive era. The rehabilitation of these massive defects in the oral and maxillofacial region poses a challenge to the prosthodontist in terms of selection of material, retentive aids, the adaptive capability of the patient, and cost. This case report describes the management of the midfacial defect involving the orbit, zygoma, maxilla, and their soft tissue counterparts with a removable silicone extraoral compartment and an acrylic intraoral compartment, which are retained with strong cobalt samarium magnets, an elastic loop around the occiput, and spectacles. The maxillofacial prosthesis fabricated for this patient restored the patient's facial esthetics, speech, dental articulation, lip support, mastication, and anterior maxillary seal.

Automated summary

Maxillofacial defects and their rehabilitation are a major concern in society, posing challenges in material selection, retention aids, patient adaptability, and cost for prosthodontists. This case report presents the management of a midfacial defect involving multiple structures, using a removable silicone extraoral compartment and an acrylic intraoral compartment that are secured with cobalt samarium magnets, an elastic loop, and spectacles. The fabricated maxillofacial prosthesis successfully restored the patient's facial esthetics and function.