S, NathKD, JoshiS, ShakyaS, ShresthaU, Koirala2025-07-242025-07-242006https://hdl.handle.net/20.500.14572/597Nath S 1, Joshi KD 2 , Shakya S 3, Shrestha S4, Koirala U 5 1,2Professor Plastic and Reconstructive Surgery, 3 Faciomaxillary Surgeon, Bir Hospital, Kathmandu, 4 Assistant Professor, 5Lecturer, Department of Surgery, KMCTH, Sinamangal, Kathmandu, Nepal,One 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 flapenArticle