Publications


2012

Micha, CS, Chindia ML, Awange DO, Dimba E, Osundwa TM, Otwoma JG.  2012.  Pattern Of Occurrence Of Jaw Cysts And Cyst-like Lesions At The University Of Nairobi Dental Hospital - A 10 Year Histopathologic Audit. Abstract

Jaw cysts and cyst-like lesions cause facial deformity, destruction of dental tissues and af-fect masticatory and phonation functions. These ad-versely erode patients’ psycho-social status; create low self-esteem and may change one’s facial identity and appearance. Objective: To determine the histo- pathologic characteristics, variants and demographic pattern of jaw cysts and cyst-like lesions at the Uni-versity of Nairobi Dental Hospital. Material and Method: This was an analytical and verification study that involved microscopic re-examination of all available incisional/excisional biopsy samples from January 2000 to December 2009 for histo-patho- logical diagnosis at the University of Nairobi Dental Hospital. Results: 187 jaw cysts and cyst-like lesions were diagnosed at the University of Nairobi Dental Hospital over the ten-year period. Keratocystic odon- togenic tumours constituted 28%, dentigerous cysts 25%, nasopalatine duct cysts 19%, radicular cysts 15%, while calcifying odontogenic cysts comprised 4% of all the lesions. The rest of the lesions were be-tween 1% and 3% of all the lesion entities. Conclu-sion: Keratocystic odontogenic tumours and den-tigerous cysts were the most common developmental odontogenic cysts diagnosed in the ten-year period.

2009

Nyamu, E;, Osundwa TM;, Chindia ML;, W; GL, Bulimo W;, Murray JC.  2009.  IRF6 Gene Variant In Non-syndromic Clefts of a Kenyan Population.

2005

2004

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

2001

MULAMA, DROSUNDWATOM.  2001.  Squamous odontogenic tumour - like proliferations occuring with dentigerous cysts and amelogenesis imperfecta. African Journal of Oral Health Sciences. African Journal of Oral Health Sciences. : University of Nairobi Abstract

Part of a detailed analysis of 864 unmarried teenage mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital is presented. Teenage pregnancy amounted for 42.3% of all deliveries of unmarried mothers. Most teenage patients were above 16 years of age, had a religious background of wide coverage, had low quality antenatal care and low education. 94.6% were found to be primigravidas. This dominance has also been found by other workers. PIP: A prospective cross-sectional descriptive study of unmarried mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital, Nairobi, Kenya, from December 1986-April 1987, was conducted with a pretested open-ended questionnaire: the 864 teen mothers are described here. They ranged from 13.4-19 years, most were 17-19. 49.4% were Catholic and 45% Protestant. 88.5% attended prenatal clinics once; 51.5% attended 5 times, although only 13% went to hospital clinics for specialized care. For reasons for not going for prenatal care teens stated that they were too shy to undergo a clinical exam, afraid of parents' reaction, unaware of the pregnancy or of the existence of prenatal care, they had not menstruated, or were in school, in prison, or had long work hours. Most girls had primary education, and 97.9% had dropped out of school. 34% dropped out because of pregnancy, and 32% for lack of tuition fees. Reasons for dropping out of school were tabulated, encompassing a broad range of social problems such as war, death, divorce, alcoholism or illness of parents, no tuition or uniform funds, poor grades, and running away from school. In Africa, teen pregnancy is probably increasing because of decreasing age at menarche and relaxing of traditional values. PMID: 2282891 [PubMed - indexed for MEDLINE]

J, PROFCHINDIAMARK, MULAMA DROSUNDWATOM, W PROFGUTHUASYMON.  2001.  Osundwa TM, Chindia ML, Guthua SW, Nyong'o A.McCune Albright syndrome: autosomal dominant trait in a family of eight.East Afr Med J. 2001 Jul;78(7 Suppl):S40-2.. East Afr Med J. 2001 Jul;78(7 Suppl):S40-2.. : University of Nairobi Abstract
No abstract available. PMID: 11957248 [PubMed - indexed for MEDLINE]
MULAMA, DROSUNDWATOM, W PROFGUTHUASYMON.  2001.  Osundwa TM, Chindia ML, Guthua SW, Nyong'o A. MC cune albright syndrome.Autosomal dominant trait in a family of eight.East Afr Med J. 2001 Jul;78(7 Suppl):S40-2.. East Afr Med J. 2001 Jul;78(7 Suppl):S40-2.. : University of Nairobi Abstract

Part of a detailed analysis of 864 unmarried teenage mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital is presented. Teenage pregnancy amounted for 42.3% of all deliveries of unmarried mothers. Most teenage patients were above 16 years of age, had a religious background of wide coverage, had low quality antenatal care and low education. 94.6% were found to be primigravidas. This dominance has also been found by other workers. PIP: A prospective cross-sectional descriptive study of unmarried mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital, Nairobi, Kenya, from December 1986-April 1987, was conducted with a pretested open-ended questionnaire: the 864 teen mothers are described here. They ranged from 13.4-19 years, most were 17-19. 49.4% were Catholic and 45% Protestant. 88.5% attended prenatal clinics once; 51.5% attended 5 times, although only 13% went to hospital clinics for specialized care. For reasons for not going for prenatal care teens stated that they were too shy to undergo a clinical exam, afraid of parents' reaction, unaware of the pregnancy or of the existence of prenatal care, they had not menstruated, or were in school, in prison, or had long work hours. Most girls had primary education, and 97.9% had dropped out of school. 34% dropped out because of pregnancy, and 32% for lack of tuition fees. Reasons for dropping out of school were tabulated, encompassing a broad range of social problems such as war, death, divorce, alcoholism or illness of parents, no tuition or uniform funds, poor grades, and running away from school. In Africa, teen pregnancy is probably increasing because of decreasing age at menarche and relaxing of traditional values. PMID: 2282891 [PubMed - indexed for MEDLINE]

2000

MULAMA, DROSUNDWATOM.  2000.  Craniofacial features of amelogenesis imperfecta. A report of two cases. African Journal of Oral Health Sciences. African Journal of Oral Health Sciences. : University of Nairobi Abstract
No abstract available. PMID: 11957248 [PubMed - indexed for MEDLINE]

1999

Osundwa, TM, Chindia ML, W GS, Awange DO.  1999.  Amelogenesis imperfecta in Kenya. Website

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