ABSTRACT

Facial prostheses act as an alternative and supplement for the surgical reconstruction of the patients with facial defects. Rehabilitation of midfacial defects always been a complicated issue for maxillofacial prosthodontists. These midfacial defects lead to functional and cosmetic deficiencies. One of the causes of such defects is midline basal cell granüloma, which is a destructive granulomatous lesion of uncertain etiology, involving the nose, paranasal sinuses and the palate. Presented here is a clinical report of a 67 year-old male patient diagnosed to have lethal midline granuloma, who was referred to the GATA Haydarpasa Training Hospital Dental Service. The patient had a severe midfacial defect involving the nose, the paranasal sinuses, the palate and upper lip and the soft tissues of the face. Patient was rehabilitated implant supported facial prostheses. The implant supported prosthetic rehabilitation was to provide closure of the severe defect to protect the soft tissues from environmental exposure. Secondarily the prosthesis also provided acceptable aesthetics and psychological benefit to the patient.