Maxillofacial prostheses challenges in resource constrained regions

Abstract

Background: This study reviewed the current state of maxillofacial rehabilitation in resource-limited nations.

Method: A rigorous literature review was undertaken using several technical and clinical databases using a variety of key words pertinent to maxillofacial prosthetic rehabilitation and resource-limited areas. In addition, interviews were conducted with researchers, clinicians and prosthetists that had direct experience of volunteering or working in resource-limited countries.

Results: Results from the review and interviews suggest rehabilitating patients in resource-limited countries remains challenging and efforts to improve the situation requires a multifactorial approach.

Conclusions: In conclusion, public health awareness programmes to reduce the causation of injuries and bespoke maxillofacial prosthetics training programmes to suit these countries, as opposed to attempting to replicate Western training programmes. It is also possible that usage of locally sourced and cheaper materials and the use of low-cost technologies could greatly improve maxillofacial rehabilitation efforts in these localities.

Implications for Rehabilitation

• More information and support needs to be provided to maxillofacial defect/injuries patients and to their families or guardians in a culturally sensitive manner by governments.

• The health needs, economic and psychological needs of the patients need to be taken into account during the rehabilitation process by clinicians and healthcare organizations.

• The possibility of developing training programs to suit these resource limited countries and not necessarily follow conventional fabrication methods must be looked into further by educational entities.

Keywords:

• Facial prosthetic
• resource-limited areas
• maxillofacial
• facial disfigurement
• rehabilitation

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work was supported by the Schlumberger Foundation, Faculty for the future grant for ST’s doctoral studies. The authors thank the staff at the Maxillofacial Clinic at Queen’s Medical Centre, Nottingham University Hospital.