Assessment of psychosocial reintegration following prosthetic rehabilitation using Psychosocial Impact of Assistive Devices Scale: A case series
Unnati Gedam, Uday Kiran UppadaAbstract
Background:
Loss of facial structures due to trauma, congenital anomalies, or ablative surgery induces profound psychosocial consequences that impact beyond functional impairment. While rehabilitation with advanced prosthetic materials have improved esthetics and comfort, standardized measurement of psychosocial outcomes remains limited.
Aim:
To assess psychosocial reintegration following maxillofacial prosthetic rehabilitation using a modified Psychosocial Impact of Assistive Devices Scale (PIADS-10) and to support the findings through a focused review of the literature.
Materials and Methods:
A case series of five patients who reported with maxillofacial defects as a result of trauma and ablative surgery rehabilitated with customized orbital and ocular prosthesis were evaluated. A PIADS-10, adaptation tailored to maxillofacial prosthesis was recorded pre rehabilitation and 4 weeks postrehabilitation. The changes across competence, adaptability, and self-esteem domains were analyzed.
Results:
The prerehabilitation PIADS scores showed substantial negative psychosocial impact particularly in self-confidence, perceived appearance, social participation, and ease of daily activities. It was observed that following prosthetic rehabilitation all the domains showed a positive shift, with greatest scores in social participation (+3), satisfaction with facial expression (+3), and overall quality of life (+3).
Conclusion and Clinical Relevance:
Customized maxillofacial prosthetic rehabilitation yields significant benefits as evident with the PIADS-10 noted in this study. Incorporating structured PROMs supports patient-centered care and strengthens the evidence for prosthetic interventions.