This paper presents a case of recurrent myiasis in mastoid defect secondary to post auricular abscess. This condition has been sporadically reported in the literature. However, complete redundancies have been noted on the management strategies. Maxillofacial prosthesis is considered as an alternative and supplement for surgical reconstruction. Hence, this article presents a unique, novel approach using to maxillofacial silicone prosthetic material for rehabilitation of the mastoid defect.