Bio

Dr David Awange Cv

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Publications


2013

2012

2011

Parkar, RB; Hassan, MA; OBD; R.  2011.  Laparoscopic Trachelectomy for Cervical Stump 'Carcinoma in situ'.

2009

Awange, DO, Wakoli KA, Onyango JF, Dimba E, Chindia ML.  2009.  Ameloblastoma of the jaws in Kenyan children – a review of seventy cases. Website

2008

2006

2005

2004

Omondi, BI, W GS, Awange DO, Odhiambo WA.  2004.  Prosthodontic Rehabilitation of the Lower Level Midface Following Surgery of Ameloblastoma. Abstract

To determine the range of ablative surgery and rehabilitative procedures performed on maxillofacial structures. DESIGN: A retrospective descriptive study. SETTING: University of Nairobi Dental Teaching Hospital. SUBJECTS: Patients operated on at the institutions theatre, and followed up at the University of Nairobi Dental Teaching Hospital Oral Surgery Outpatient Clinic during the period February 1996, August 1998. RESULTS: Forty four patients underwent ablative surgery during the study period. Complete records were available for 38 patients, 27 females and 11 males aged 10 to 79 years (mean 32.6 years). Surgical procedures performed included: partial mandibulectomy, marginal mandibular resection, subtotal maxillectomy, sequestrectomy and enucleation. Six (15.8%) patients who underwent mandibular resection had rigid bone plating. Five (13.2%) patients who had maxillary involvement were given surgical obturators post-operatively with one receiving a complete denture after full recovery. A total of 22 (57.9%) patients who would have reaped benefits from prostheses therapy received none. Individual patient follow-up periods ranged from seven days for two patients who had cyst enucleation to two years for three cases with ameloblastoma, and two cases with squamous cell carcinoma. CONCLUSION: It is concluded that prosthetic rehabilitation of patients undergoing extensive surgery at the University of Nairobi Dental Teaching Hospital is largely inadequate

Osundwa, MT, Chindia ML, W GS, Awange DO, Onyango A.  2004.  Squamous Odontogenic Tumour-like Gingival proliferations Occurring with Dentigerous Cysts and Amelogenesis Imperfecta. Abstract

To determine the range of ablative surgery and rehabilitative procedures performed on maxillofacial structures. DESIGN: A retrospective descriptive study. SETTING: University of Nairobi Dental Teaching Hospital. SUBJECTS: Patients operated on at the institutions theatre, and followed up at the University of Nairobi Dental Teaching Hospital Oral Surgery Outpatient Clinic during the period February 1996, August 1998. RESULTS: Forty four patients underwent ablative surgery during the study period. Complete records were available for 38 patients, 27 females and 11 males aged 10 to 79 years (mean 32.6 years). Surgical procedures performed included: partial mandibulectomy, marginal mandibular resection, subtotal maxillectomy, sequestrectomy and enucleation. Six (15.8%) patients who underwent mandibular resection had rigid bone plating. Five (13.2%) patients who had maxillary involvement were given surgical obturators post-operatively with one receiving a complete denture after full recovery. A total of 22 (57.9%) patients who would have reaped benefits from prostheses therapy received none. Individual patient follow-up periods ranged from seven days for two patients who had cyst enucleation to two years for three cases with ameloblastoma, and two cases with squamous cell carcinoma. CONCLUSION: It is concluded that prosthetic rehabilitation of patients undergoing extensive surgery at the University of Nairobi Dental Teaching Hospital is largely inadequate

2003

2000

1998

1994

Otieno, D.  1994.  Bacterial colonization profile in endo-tracheally intubated patients in the intensive-care unit,Kenyatta National Hospital, and the rationale for antibiotic therapy. Abstract

A prospective study on the bacterial colonization profile
of the respiratory tract was carried out on fifty-six (56)
patients admitted to the Kenyatta National Hospital, Intensive-
Care unit, and intubated for at least two days. between
January 1992 and March 1993.
During this period, a total number of four hundred and
fifty-eight (458) patients were admitted to the Intensive-
Care Unit. Out of these 25.7% (118) fell within the study
criteria, but only 47.4% of the eligible patients were
actually studied. •
Twenty-nine (29) were male and twenty-seven (27) were
female. The male to female ratio was 1.07:1. The patients'
ages ranged from eight (8) months to eighty (80) years, with
a peak in the 11-20year and another in the 31-40 year age
groups.
There were eight (8) different species of organisms
isolated during the study, most of which were gram-negative
bacilli. The most frequently isolated organism was proteus
29.1% (30) and the least common was enterococcus 3.9% (4).
Out of the fifty-six (56) patients, the colonization
rate was 30.4% (17). trache9-bronch~t~s 33.9% (19), and
pneumonia 35.7% (20). The severity of infection was found to
depend on the severitj .of illness. Of the eleven (11)
patients without organ fail~re, none developed pneumonia,
while 27% (3) had colonization and 73% (8) had tracheo-
bronchitis. There was a total of thirteen (11) uatients with
organ failure invoJving two or more systems; 69.2~ of t~ese
(9) had pneumonia, 30.7~ (4) had tracheo-bronchitis ann none
had colonization.
The duration of intubation varied from ~ to 9~ days in
this study. There was no clear relationship he tween the
duration of intubation and the severity of respiratory
infection. Duration of intubation of less than thirty davs
was associated wit~ 25~ (4) cases of colonization. 100% (19)
of tracheo-bronchitis and 90~ (lA) of uneumonia. Intuhation
for thirty days or more was associated with 75~ (13) cases
of colonization. 10% (2) of pneumonia and no case of
tracheo-bronchitis.
Ceftazidime (Fortum) was found to he the most effective
of the antihiotics tested against the isolated organisms;
100% effective in five (5) out of the eight (8) species
isolated.
Patients with either colonization or tracheo-bronchitis
were found to have a favourable outcome without antibiotics.
Of the 36 patients with either colonization or tracheobronchitis,
83% (30) made good recovery on conservative
management: regular 'chest phvsiotherapy and tracheo-bronchial
suctioning. One developed septicaemia and died despite
antibiotics. The other five died from multiple complications.
Twenty (20) patients diagnosed to have pneumonia were
put on specific antibiotic therapy. Only 16.6% (6) recovered.

1993

Onyango, JF, Awange DO.  1993.  Primary malignant fibrous histiocytoma of the mandible. Abstract

A case report of a primary malignant fibrous histiocytoma (MFH) in the mandible of a young adult male is presented and relevant literature reviewed. The clinical presentation and course of the case is typical of MFH of the jaw as reported in the literature.

1992

Awange, DO.  1992.  White patches of the Oral Mucosa.

1991

Awange, DO.  1991.  Angioneurotic Oedema. Website

1988

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