Browsing by Author "S, Nath"
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Publication Mandibular reconstruction(Kathmandu University, 2006) S, Nath; KD, Joshi; S, Shakya; S, Shrestha; U, KoiralaOne of the most difficult problem in reconstructive surgery is the replacement of lost bone from trauma, tumour, infection or congenital anomaly. This is a case report of a 20 year old male who had suffered a blast injury of his lower jaw. From his first admission in the Plastic unit of Bir Hospital on Feb 19, 2003, he had undergone multiple operations until Nov 2003. This is a description of a follow up surgery done in Kathmandu Medical College (KMC), Sinamangal. Difficulties encountered and options available have also been discussed. Key word: Mandibular reconstruction, Pedicle osteomyocutaneous flapPublication Odontogenic origin of necrotizing fasciitis of head and neck - a case report(Kathmandu University, 2004) Toran, KC; S, Nath; S, Shrestha; BBS JB, RanaNecrotizing fasciitis (NF) of head and neck is a fulminant infection associated with necrosis of connective tissue which spreads along the fascial planes with high mortality rate. It is usually polymicrobial, odontogenic and occurs more frequently in immunocompromised patients. Because of the rarity of the disease, early diagnosis and early management is often delayed. We present a diabetic patient who developed NF of head and neck following tooth extraction. Because of vigorous teamwork he could be saved from the fatal disease but required extensive plastic repair. Every clinician should be aware of such a disease, particularly in immunocompromised patients and necessitates earliest diagnosis and intervention to save their life. Keywords: Necrotizing fasciitis, necrotizing soft tissue infections,