Prosthetic Rehabilitation of Midfacial Defect following Cancer Surgery using Three Piece Prosthesis

Abstract

ABSTRACT Acquired facial defects may cause functional and psychological impairments that adversely affect a patient's quality of life. Restoration of facial defects can be accomplished surgically, prosthetically or by using a combination of both the methods. The choice depends on many factors, like size, location of the defect and the age of the patient. Reduced vascularity, increased fibrosis and scarring of tissues bordering the defect increase the risk of complications associated with reconstruction. Maxillofacial prostheses have the advantage of not only improving the patient's appearance but also enabling early rehabilitation. This unusual case report details an attempt to rehabilitate a patient who has undergone total maxillectomy and orbital exenteration with the aid of intraoral obturator prosthesis and an extraoral orbital and cheek prosthesis.