Abstract
Background: Microtia is one of the forms of ear loss and deformity. It is a congenital anomaly of the external ear. Social and psychological rehabilitation of such patients requires a prosthesis that is esthetic as well as has enough strength and texture to represent the natural ear. Because of financial constraints, some patients cannot afford the surgical procedure of grafting.
 Case report: This is a case of 17 year old female with congenital missing right ear along with facial deformity due to Lower Motor Neuron facial nerve palsy. 
 Treatment plan: Prosthetic replacement of the missing ear was planned to improve the esthetic and social well being of the patient in an economical way.
 Conclusion: a definitive management of the missing ear can be done using dental implants and bar attachment if the financial condition and social acceptance with interim prosthesis is satisfactory.
Highlights
GPT-9 describes maxillofacial prosthesis as any prosthesis used to replace part or all of any stomatognathic and/or craniofacial structures
Aim of maxillofacial rehabilitation is to provide a suitable prosthesis for patient with facial deformity to restore the esthetics and make them socially acceptable
Fabrication of unilateral auricular prosthesis is more difficult as compared to bilateral auricular prostheses, as it presents a constant comparison with a natural counterpart
Summary
GPT-9 describes maxillofacial prosthesis as any prosthesis used to replace part or all of any stomatognathic and/or craniofacial structures. Microtia is considered the most common congenital defect with incidence rate of 1 in 12,500 live births. It is usually associated with atresia of the external auditory canal. Microtia and anotia are part of a spectrum of first and second branchial arch abnormalities known as hemifacial microsomia. They are associated with ear anomalies and preauricular tags [1]. Grade II: The ear is smaller than normal, and the auricular remnant retains some structural resemblance to a helix in its configuration. Prosthetic fabrication of the missing part using medical grade silicone is the alternative method of correction of the malformation. The various treatment options available include mechanically retained prosthesis, bio-adhesive retained prosthesis, implant retained and the recently developed rapid prototyping and Computer Aided Designing – Computer Aided Machining (CADCAM) developed prosthesis [4].The prosthetic ear can retain eyeglasses and a hearing aid if needed [5]
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