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Psychosocial Outcomes of Maxillofacial Prosthetic Rehabilitation: Appearance, Stigma, Social Reintegration, Speech, Eating, and Emotional Recovery

Authors: Ibrahim Abdul Jaleel Yamani; Izzeldeen Abdullah Alnaimi; Ahed J. Alkhatib;

Psychosocial Outcomes of Maxillofacial Prosthetic Rehabilitation: Appearance, Stigma, Social Reintegration, Speech, Eating, and Emotional Recovery

Abstract

Abstract: Maxillofacial prosthetic rehabilitation not only involves the replacement of anatomy and restoration of function but is also fundamental to the reconstruction of identity, confidence, socialization and emotional well-being of patients with craniofacial defects. Defects caused due to resections in oncology defects, trauma, congenital and other pathological defects or extensive surgical defects. These defects may interfere with the disturbance in facial appearance, speech, mastication, social interaction and may result in significant psychosocial consequences. This article deals with psychosocial outcomes of maxillofacial prosthetic rehabilitation with reference to appearance, stigma, social reintegration, speech, eating and emotional recovery. According to the evidence, successful prosthetic rehabilitation provides patients with a more positive self-perception, body image, facial satisfaction, communication, nutritional function, and social confidence. The influences of expectations, cultural disability perceptions, socioeconomic status, access to specialist care, and multidisciplinary support availability on patient outcomes. Despite successful technical prosthesis, patients may experience stigma, social avoidance, anxiety, altered identity, and difficulties in public engagement, highlighting the need for a patient-centered assessment. The review suggests that validated quality-of-life measures, psychological screening, speech therapy, dietary counseling, social support, and ethical accessibility should be added to routine maxillofacial rehabilitation. All in all, psychosocial recovery must be thought of as a primary therapeutic endpoint rather than as a secondary outcome of prosthetic treatment.

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