Harriet T., 16

Harriet is a bright and compassionate 15-year-old from Kibera who enjoys reading, playing, and supporting younger children in her community. Her health journey began about nine years ago when a facial swelling was first noticed. She later attended a medical camp by Helpster Charity and was referred to Barika Medical Centre, where tests confirmed a multiloculated dentigerous cyst causing bone destruction and facial deformity, with occasional breathing difficulty. She first presented in April 2025 with progressive jaw swelling, pain, loose teeth, and difficulty chewing. Investigations confirmed an odontogenic cyst. She was admitted in May 2025 and underwent a successful segmental mandibulectomy with titanium plate reconstruction. Postoperative recovery was good, with restored facial symmetry and resolution of disease. Her treatment plan includes three stages: resection (completed), bone grafting (pending), and later dental rehabilitation. She is currently healing well and due for for the next surgery (bone grafting) to strengthen the jaw and prevent complications.

The patient was admitted for management of a segmental mandibular defect following mandibulectomy. Imaging/investigation showed the defect with an adjoining reconstruction plate. She underwent autogenous iliac bone grafting to reconstruct the mandibular defect. Post-operatively, she received IV antibiotics (ceftriaxone and metronidazole), analgesics (paracetamol and tramadol), dexamethasone, and other supportive medication. She was discharged on 15 September 2026 with oral antibiotics and analgesics for a short course. No complications were documented, and follow-up was scheduled for 22 September 2026

Findings confirm a significant mandibular odontogenic cyst that required surgery. The first stage—resection with immediate titanium plate reconstruction—was successfully done, removing the disease and restoring facial symmetry. Healing has been good, indicating readiness for the second stage: autogenous iliac bone grafting to reinforce the jaw and prevent complications like plate failure or tissue breakdown. With completion of all stages, including dental rehabilitation, the prognosis remains favorable. Harriet has shown good recovery with no recurrence. Bone grafting is key for long-term stability, and she is expected to regain function, improved appearance, and low risk of complications.