Title : Tragic to Magic
Abstract:
Mucormycosis is a rapidly progressive fungal infection that often requires aggressive surgical intervention, resulting in extensive maxillofacial defects. These defects lead to severe facial disfigurement, impaired mastication, nasal regurgitation, speech difficulties, and profound psychological trauma. This case report presents the rehabilitation of a mucormycosis survivor using a combined orbital prosthesis and hollow bulb obturator, showcasing the transformative potential of maxillofacial prosthodontics—from tragic to magic.
The patient reported with a complete loss of the left orbit along with a maxillectomy defect, creating significant esthetic and functional challenges. A multidisciplinary evaluation guided the design of prosthetic solutions aimed at restoring facial symmetry, oral function, and emotional well-being.A lifelike silicone orbital prosthesis was fabricated to replicate natural skin color, texture, and anatomical details. Enhanced retention was achieved using anatomical undercuts, adhesives, and spectacle support. The prosthesis restored facial form, improved eye symmetry, and significantly boosted self-confidence.
Parallelly, a hollow bulb obturator was constructed to seal the maxillary defect. The hollow design minimized weight while improving speech clarity, reducing nasal leakage, and enhancing masticatory efficiency. Proper border extension and occlusal balance ensured comfort and stability.Post-rehabilitation follow-up revealed marked improvements in esthetics, function, nutrition, and overall quality of life. The combined intraoral and extraoral prostheses successfully reinstated normalcy for the patient after a devastating illness.This case underscores the vital role of maxillofacial prosthodontics in restoring not just anatomy, but identity and confidence in post-mucormycosis patients.
