Maxillofacial Rehabilitation of Nasel Defect with a Silicone Nose Prosthesis: A Case Report

Facial disfigurements involving the nose can severely impact an individual’s psychological well-being and social interactions. Nasal defects, whether congenital or acquired, pose significant challenges for rehabilitation due to their central facial location and aesthetic importance. This case report presents the maxillofacial rehabilitation of a 57-year-old female patient with a total nasal defect resulting from trauma sustained 25 years prior. The patient’s existing prosthesis exhibited discoloration, rigidity, and poor marginal adaptation. A new nasal prosthesis was fabricated using medical-grade silicone for enhanced esthetics, comfort, and durability. The prosthesis was retained using spectacles to provide mechanical stability and conceal prosthetic margins. The rehabilitation process involved precise impression making, wax pattern sculpting, color matching with intrinsic pigmentation, and careful adaptation to the patient’s facial contours. The patient reported high satisfaction with the prosthesis’ color match, retention, and comfort, leading to improved confidence and quality of life. This case highlights the clinical effectiveness of silicone prostheses in restoring facial form and function and underscores the importance of periodic evaluation and replacement for sustained success. Advancements in materials and fabrication techniques continue to enhance the outcomes of maxillofacial rehabilitation for patients with nasal defects.