Boy to Receive Groundbreaking Facial Surgery at Kenyatta National Hospital

A 10-year-old boy is set to undergo a groundbreaking facial reconstruction surgery at Kenyatta National Hospital on 25 September, in what will be the first procedure of its kind performed on a child globally.

Ian Baraka sustained severe facial injuries in a bandit attack in Meru County last year, when a bullet passed through his lower jaw and exited through the middle of his face. The damage left him unable to eat, speak, or breathe without medical support. 

After being stabilised at Meru Teaching and Referral Hospital, he was transferred to Kenyatta National Hospital (KNH), where specialists have spent nearly 18 months developing a surgical plan. The operation involves reconstructing Ian’s jaw and mid-face using a custom 3D-printed titanium implant developed with engineers from Belgium. 

Designed to allow for bone growth, the implant addresses the unique challenges of paediatric patients. Silicone prosthetics will be used to recreate missing features, including the nose and lips, while artificial teeth will be fitted to restore his ability to chew and speak.

The procedure is the result of extensive collaboration between KNH clinicians and academics from the University of Nairobi Dental School, combining expertise in maxillofacial surgery, plastic surgery, ENT, ophthalmology, and prosthodontics. Consultant prosthodontist Dr Margaret Mwasha described the approach as “revolutionary,” with the goal of supporting both physical development and social reintegration.

“This is not just about appearance,” said Dr Mwasha. “Ian needs to be able to eat, speak, and interact like any other child. This surgery is essential for his growth and well-being.”

Significant progress has already been made. Surgeons have successfully sealed Ian’s upper jaw, allowing him to swallow and speak unaided. Future procedures are planned as he grows, including bone grafts once his facial structure has fully developed. According to consultant surgeon Dr Andrew Okiriamo, the titanium implants are built to adapt over time, supporting long-term recovery.

Funding for the surgery has come from both institutional and individual efforts. KNH’s board has agreed to cover most of the costs, while Dr Branice Munyasa, a resident doctor, raised KSh700,000 through a series of marathon fundraisers. 

KNH board chairperson Abbas Gullet described the procedure as a milestone in Kenyan healthcare, noting its potential to inspire future medical innovation and international collaboration. He praised the team’s dedication and urged continued support for such initiatives.