Browsing by Author "Singh, RK"
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Publication Cervical necrotizing fasciitis in an uncontrolled type II diabetic patient(Kathmandu University, 2006) Singh, RK; Bhandary, S; Wakode, PT; Karki, PWe report a case of cervical necrotizing fasciitis (CNF) in a female having uncontrolled type II diabetes mellitus. The patient was presented to us after 20 days of preliminary symptoms. The aetiology of microbial inoculation in subdermal tissue was not known. The isolate was Staphylococcus aureus. In spite of the delay in presentation, the patient was successfully treated with combined antimicrobial and surgical intervention. Key words: Necrotizing fasciitis, head and neck, cervical, diabetes mellitus.Publication Evaluation of Hamular Notch-Incisive Papilla Plane as a Useful Reference in Establishing the Occlusal Plane(Kathmandu University, 2024) Ghimire, P; Singh, RK; Suwal, P; Rijal, AH; Basnet, BBABSTRACT Background Establishment of occlusal plane with hamular notch- incisive papilla plane as a useful reference helps to reduce the chairside time taken for jaw relation during complete denture fabrication. Objective To determine the hamular notch-incisive papilla plane (HIP) as a useful reference plane in establishing the occlusal plane. Method This cross-sectional analytical study was conducted among 100 dental students by obtaining the maxillary cast from an impression made. The data collected were entered and analyzed using SPSS version 21. Paired t-test, Independent t-test and Pearson correlation was applied for statistical analysis. Result The vertical distance from hamular notch-incisive papilla plane and occlusal plane at the level of mesio-incisal line angle of maxillary central incisor and mesio-palatal cusp tips of maxillary first molar showed statistically significant difference (p < 0.001) on both right and left sides. There was statistically significant difference (p < 0.05) between hamular notch-incisive papilla plane and occlusal plane on right and left sides, between right and left mesio-palatal cusp tips of maxillary central incisors from hamular notch-incisive papilla plane. Hamular notch-incisive papilla plane, mesio- incisal line angle of right maxillary central incisor and mesio-incisal line angle of left maxillary central incisor had mild but significant correlation with age. The parallelism between hamular notch-incisive papilla plane and occlusal plane within the range of 2 mm was 62% on right side and 75% on left side. Conclusion Hamular notch-incisive papilla plane can be used as a practical method for establishing the occlusal plane tentatively. KEY WORDS Hamular notch-incisive papilla plane, Occlusal plane, SurveyingPublication Fungal Maxillary sinusitis: A prospective study in a tertiary care hospital of eastern Nepal(Kathmandu University, 2007) Joshi, RR; Bhandary, S; Khanal, B; Singh, RKIntroduction: The incidence of mycotic infections and the diversity of pathogenic fungi have increased dramatically in recent years. Fungal sinusitis should be considered in all the patients with chronic maxillary sinusitis (CMS), especially in association with certain clinical features that serve as clue to the diagnosis. Aspergillus is the most common fungal pathogen in maxillary sinus. Methodology: A total of 100 patients those who fulfilled the diagnostic criteria (Lanza and Kennedy3 , 1992) for chronic rhinosinusitis were eligible for this open level and randomized prospective study. Only those above 14 years of age were included. Results: Fungal maxillary sinusitis was seen in 14% of all cases of chronic maxillary sinusitis in eastern part of Nepal. We identified Acremonium and Candida species as commonest fungi involved in fungal maxillary sinusitis (FMS). To the best of our knowledge this is the first such study conducted in eastern Nepal. Key words: Fungus, Sinusitis, MaxillaryPublication Regarding “Tonsillar microbial flora: A comparison of infected and non-infected tonsils”(Kathmandu University, 2006) Bhandary, S; Singh, RK; Shrestha, SNAPublication Sinonasal inverted papilloma in eastern part of Nepal(Kathmandu University, 2006) Bhandary, S; Singh, RK; Shrestha, S; Sinha, AK; Badhu, BP; Karki, PObjective: To evaluate the clinicopathological profile of sinonasal inverted papilloma in a tertiary referral center in eastern part of Nepal. Methods: A prospective study consisting of total 28 histologically proven cases of sinonasal inverted papilloma was conducted in the ENT department of the center. The study period was from April 2002 to November 2005. Result: Out of 28 cases studied, 21 were males and 7 were females with male to female ratio of 3:1. The highest incidence was seen in the 5 th and 6 th decades of life. The duration of symptoms varied from 5 months to 20 years with mean duration of 3.9 years. The lateral nasal wall and nasal cavity involvement was seen in all 28 cases. Maxillary sinus was involved in 27(96.4%) subjects followed by ethmoid (20), sphenoid (10) and the frontal sinus (7). The principle presenting symptom was nasal obstruction seen in 96.4% of the patients. Twenty two cases were treated by lateral rhinotomy with medial maxillectomy while, orbital exenteration was done in two cases. Associated carcinoma was noticed in 10.15% of all the subjects studied. Conclusion: Sinonasal papilloma mostly presented in fifth to six decades of life mainly affecting the male patients. Majority of the patients were treated by lateral Rhinotomy with medial maxillectomy surgery. Early presentation would have given chances for endoscopic surgery. Key words: Sinonasal inverted papilloma, lateral Rhinotomy, medial maxillectomy.