Abstract
RATIONALE: Achieving predictable aesthetic results of large craniofacial defects has always been difficult, and it requires a multidisciplinary approach. PATIENT CONCERN: The chief concern of the patient was poor aesthetics due to a congenital craniofacial defect. DIAGNOSIS: The patient was a known case of plexiform neurofibromatosis and had a congenital temporo-orbital bone defect of unknown origin. TREATMENT: The reconstruction of the defect was done using rapid prototyping (RPT) and iliac crest graft. Three-dimensional computed tomography imaging and RPT were used to obtain a customized titanium prosthesis to rehabilitate the temporal defect and the defect lateral to the orbit was reconstructed using an iliac crest graft. OUTCOME: Postoperative results were satisfactory and predictable. The positive change in appearance has improved the psychological well-being of the patient. TAKE-AWAY LESSONS: A multidisciplinary approach, use of advanced and improved technology helps in better treatment planning and achieving desired aesthetic results.