Face of Courage: Maxillofacial Prosthetic Rehabilitation of Facial Defect Due To Bear Maul Injury" – A Case Report

Introduction: Human–wildlife conflict is an important cause of traumatic injury in populations residing near forested and mountainous regions. Although bear attacks constitute a relatively uncommon form of animal-related trauma, the injuries produced by bear mauling are often devastating because of the considerable force exerted by the animal’s claws, paws, and jaws. The craniofacial region is particularly vulnerable during such encounters, and injuries may range from deep lacerations and puncture wounds to extensive soft-tissue avulsion, fractures, ocular injuries, and loss of facial structures.

Patient Details And Treatment Plan: A 70-year-old male patient reported to the Department of Prosthodontics, crown and bridge with the chief complaint of a facial defect involving the nose and left eye. The patient had a history of a bear maul injury sustained 8 years ago, which resulted in the loss of the nasal and left orbital structures. Reconstructive plastic surgery was performed 7 years ago; however, a residual facial defect persisted.

Conclusion: Bear-maul injuries involving the maxillofacial region can result in extensive soft- and hard-tissue destruction, with permanent facial disfigurement and substantial functional, esthetic, and psychosocial consequences. ¹⁻³ Although surgical reconstruction remains an essential component of initial and definitive management, complete restoration of complex facial structures may not always be achievable, particularly in patients presenting with extensive or long-standing defects