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Saline Atieno

Saline Atieno with her host mother, Kerri Tame, of Coram, outside Stony Brook University Hospital last week. Photo by Iryna Shkurhan

By Iryna Shkurhan 

Saline Atieno came to Long Island as a girl in 2012 from Kenya to receive transformative facial surgeries by Stony Brook Medicine doctors. On May 2, she returned home as a 19-year-old young woman with a whole new demeanor after 15 surgical procedures. 

Atieno developed a facially disfiguring bacterial necrosis called Noma as a child, which often occurs in young severely malnourished children. Dr. Leon Klempner, a retired orthodontist and professor at Stony Brook University School of Dental Medicine, met Saline for the first time in 2010 on an outreach medical trip.

“She was beautiful on the inside and through the work of Dr. [Alexander] Dagum and the Stony Brook medical team, they helped match her inside and out,” said Klempner, a Poquott resident. “So, she now has a much stronger self-image.”

Through his charity, Smile Rescue Fund for Kids, Klempner brought Saline to the United States in 2012 until 2014, where she received 10 life-changing surgeries to improve the functions and appearance of her face. Klempner and Dagum, who is chief of Plastic and Reconstructive Surgery, and their Stony Brook colleagues set a plan to reconstruct her face and mouth to improve her functions and look.

The doctors recount meeting a shy girl for the first time in 2013. Saline only attended school a handful of times because she got bullied too much. 

“She’s blossomed,” Dagum said. “Little by little, she’s gained confidence in maturation and she’s grown into a young woman that we’re all so proud of her.”

Following her return to Kenya, Saline developed recurring infections and scarring from the Noma infection and the healing process of the first 10 surgeries. The charity arranged for her to return to Long Island for additional treatment from February 2019 to January 2020. During this period, Dagum performed more reconstructive procedures to reduce the risk of future infections. He also removed a developing cyst from her cheek and scarring around her lips, face and forehead. 

Saline’s return to Kenya was interrupted when the COVID-19 pandemic hit. Her stay with a host family on Long Island was extended indefinitely as travel was banned back to Kenya. 

During this extra stay, Saline had additional time to heal and recover with medical guidance from her Stony Brook clinical care team. She also took the time to perfect her English skills and enjoy her adopted home. 

“It’s almost the equivalent of sending your child to college,” Dagum said. 

When she returns home, Saline will attend a boarding school and in the future wants to receive training to become a hairstylist. This wouldn’t have been possible without the medical staff volunteering their time and the university volunteering its services. Smile Rescue Fund also has donated to help support her education when she goes back, find clean water and finance solar lights in her area. 

The pandemic has given Saline added time to heal, adjust and see her future. Now she returns home to Kenya as a young woman.

Saline’s host mom, Kerri Tame, of Coram, said that Saline adjusted well and became one of her children in the past two and a half years. Saline was enrolled at Newfield High School in Selden where she made friends and enjoyed attending classes in person. 

“She became Americanized,” Tame said. “Just like one of our children.”

“I’m not going to be able to do the things I do here, back home,” Saline said. When asked what she would miss most about Long Island, she said, “Everything.” 

Leon Klempner poses with Dunia Sibomana in front of the Christmas tree. Photo from Amy Epstein

The last two years have been rough for Dunia Sibomana, but now that he has been brought to the United States for reconstructive surgery, everything could change.

Since the 8-year-old was disfigured in a chimpanzee attack — the same one that killed his younger brother — he had stopped going to school because the other children in his native Congo ridiculed him. And being extremely poor, he came to America weighing only 40-something pounds, although the typical weight for a boy his age is almost double that, according to the Centers for Disease Control and Prevention.

Above, Dunia Sibomana and park ranger Andre Bauma both give a thumbs-up for school. Photo from Amy Epstein
Above, Dunia Sibomana and park ranger Andre Bauma both give a thumbs-up for school. Photo from Amy Epstein

Despite all he has gone through, volunteers from the Smile Rescue Fund for Kids said Dunia is still a sweet kid.

That group, founded by Poquott resident Dr. Leon Klempner, who until recently was an orthodontist based in Port Jefferson, is hosting Dunia on Long Island and will care for him through a series of surgeries to reconstruct his lips and cheek.

Klempner started his nonprofit organization a few years ago to care for kids with severe facial deformities who are often ignored by similar groups that repair simpler issues like cleft lips.

Dunia lost both his lips and has scarring on his cheeks after the chimpanzee attack two years ago on the outskirts of Virunga National Park in the Democratic Republic of the Congo, near that country’s border with Uganda and Rwanda. While his father was working in the fields, he was playing with his friends and his 4-year-old brother, Klempner said. The chimps “killed and completely dismembered” the brother, but a ranger fortunately found Dunia and rushed him to the hospital.

“He refused to go to school after the injury because the kids were just ridiculing him too much,” the Poquott man said. “He lost most of his friends.”

Dunia Sibomana hugs Eian Crean while playing with Collin Crean. Photo from Amy Epstein
Dunia Sibomana hugs Eian Crean while playing with Collin Crean. Photo from Amy Epstein

Smile Rescue Fund stepped in, bringing Dunia and that park ranger, Andre Bauma, stateside. Bauma was acting as a translator for Dunia, who only speaks Swahili, and helping him get settled with his Hauppauge host family, the Creans, but had to return to Congo last week.

Jennifer Crean said Dunia is getting along well with her three children, ages 10, 12 and 15.

“They have fun with him and he loves them,” she said. “So far so good.”

The family has taught him how to swing at the Hoyt Farm playground in Commack and taken him horseback riding, Crean said. Dunia has also played on an iPad, learned about Santa Claus and gone bowling.

“Everything for him is like brand new. It’s pretty cool.”

After the holidays, when things have slowed down, Crean said, the plan is to take him into New York City to see the big Christmas tree at Rockefeller Center.

Dunia’s experiences here deeply contrast with his life back home — Klempner said the boy’s mother died when he was a toddler and his father is indigent, picking up work wherever he can, so they don’t have a home. And there’s not much food to go around.

Dunia Sibomana laughs with Grace Crean. Photo from Amy Epstein
Dunia Sibomana laughs with Grace Crean. Photo from Amy Epstein

At his temporary Hauppauge home, “He eats like a horse,” Klempner said. “He eats as much as Jenn’s teenage son.”

He’s also recently started instruction at Hauppauge’s Pines Elementary School, where he’s in the second grade. Klempner noted the biggest benefit of school is that Dunia is being reintegrated into a social setting, with kids who don’t mock him.

“They’ve been very warmly receiving him.”

He’s already picked up some English — Crean said with a laugh that “he knows the word ‘No’” — and has adapted to the new environment.

JenniferCrean-Dunia-wThe surgeries begin in early January, when Dr. Alex Dagum will put three tissue expanders into his face, under the skin on his cheeks and chin. Over a few months, Dagum will slowly fill those with saline, expanding them and stretching the skin. Once there is enough excess skin created, the expanders will come out and that skin will be cut away and used to reconstruct the lips and cheek.

Stony Brook University Hospital, where Dagum is chief of plastic surgery, has donated the facility and medical staff’s time to operate on Dunia, and is even preparing special meals for him. In addition, Klempner said, “nurses volunteered to be dedicated nurses for him when he comes in for surgery so he sees the same faces.”

Dunia Sibomana meets Santa Claus. Photo from Amy Epstein
Dunia Sibomana meets Santa Claus. Photo from Amy Epstein

All of the work will add up to a new look for Dunia that will hopefully improve his quality of life at home in Congo when he is ready to return.

“He is sweet, and he is fun-loving; he’s got a sense of humor,” Klempner said. “He’s an 8-year-old kid that got a bad draw on life.”

Help needed
Smile Rescue Fund for Kids is searching for a local volunteer who speaks Swahili to translate for Dunia while he is in the United States, as well as volunteers who will spend time with Dunia, as a way of helping out his hosts, the Crean family. Contact Leon Klempner at 631-974-7511 or [email protected]For those who cannot volunteer but would like to help, Smile Rescue Fund accepts donations online, at www.smilerescuefund.org.