Maxillofacial defects may be due to congenital defect, trauma, tumor or infection. Among infections, fungal head and neck infections are common complication in patients with immunological or metabolic compromise. Cerebral extension of these infections often complicates the treatment plan. Treating these cases requires correction of the compromised state, local and systemic anti-fungal therapy and repeated radical debridement assisted by serial imaging. Following debridement, the resultant deformity can be corrected either surgically or prosthetically. Many factors are to be considered regarding the choice of the treatment. Here is a case report of a 55 year old male diabetic patient with oro-nasal mycosis, where debridement resulted in a gross morbid defect of the dorsum of the nose and the hard palate. Prosthetic rehabilitation was carried out with separate nasal prosthesis and a palatal feeding obturator.
This clinical report describes the prosthetic rehabilitation of a patient with corneal abscess with endophthalmitis of the left eye. Infection with a history of trauma resulted in loss of vision but with intact eye ball movements. Cornea excising evisceration was carried out following placement of poly(methyl methacrylate) ocular ball implant. Later custom made scleral prosthesis was fabricated to maintain functional integrity of the socket and to satisfy patient's aesthetic needs.
A Prosthodontist plays an important role in the rehabilitation of lost maxillofacial and stomatognathic structures. The rehabilitation of
maxillofacial defects improves the quality of life in such individuals. Thus it increases the self-esteem and well-being. In this case report, three
patients treatment procedure has been described. It presents the rehabilitation of ocular, auricular and nger defects which fullled the patient's
needs, esthetics and psychological well-being
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