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En is an 11th grader from Cambodia who needs $464 to fund myringoplasty ear surgery.

En
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  • $190 raised, $274 to go
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May 4, 2020

En is an 11th grade student from Cambodia. He has two older sisters. He likes to play football and wants to be a policeman when he grows up. His favorite subjects in school include Khmer and English. He loves to eat all kinds of soup.

Ten years ago, he felt itchiness in his left ear. He kept using a cotton bud to clean it but unintentionally pulled water inside in his ear, En had a serious ear infection. This infection caused the tympanic membrane, or the ear drum, in his left ear to perforate. For this reason, En experiences ear pain, discharge, and foul smell. He cannot communicate well with others, and he can no longer attend school.

En traveled to our medical partner’s care center to receive treatment. On May 4th, he will undergo a myringoplasty procedure in his left ear. During this procedure, surgeons will close the perforation. Our medical partner, Children’s Surgical Centre, is requesting $464 to fund this procedure. This covers medications, supplies, and inpatient care.

“I hope that my ear pain will stop. I want to go to school and become a policeman one day,” En said.

En is an 11th grade student from Cambodia. He has two older sisters. He likes to play football and wants to be a policeman when he grows up....

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En's Timeline

  • May 4, 2020
    PROFILE SUBMITTED

    En was submitted by Lindsay Bownik, Stakeholder Relations Officer at Children's Surgical Centre, our medical partner in Cambodia.

  • May 04, 2020
    TREATMENT OCCURRED

    En received treatment at Kien Khleang National Rehabilitation Centre. Medical partners often provide care to patients accepted by Watsi before those patients are fully funded, operating under the guarantee that the cost of care will be paid for by donors.

  • May 06, 2020
    PROFILE PUBLISHED

    En's profile was published to start raising funds.

  • June 30, 2020
    AWAITING UPDATE

    Awaiting En's treatment update from Children's Surgical Centre.

  • TODAY
    AWAITING FUNDING

    En is currently raising funds for his treatment.

Funded by 1 donor

Funded by 1 donor

Treatment
Myringoplasty
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $464 for En's treatment
Hospital Fees
$78
Medical Staff
$385
Medication
$1
Supplies
$0
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

​What kinds of symptoms do patients experience before receiving treatment?

A myringoplasty is the closure of the perforation of the tympanic membrane in the ear. This surgery is performed when a patient has a perforated eardrum, certain types of hearing loss, and chronic otitis media (middle ear infection). A bilateral myringoplasty will be performed when a patient has otitis media on both sides. Patients experience difficulty hearing and communicating, in addition to chronic infection and daily ear discharge.

​What is the impact on patients’ lives of living with these conditions?

The patient has difficulty hearing and experiences daily pain and ear discharge. These symptoms make it difficult to attend school or work regularly.

What cultural or regional factors affect the treatment of these conditions?

Many people in Cambodia are unaware that medical help is available for ear, nose, and throat (ENT) conditions. In rural villages, if a young child has trouble hearing, it may be assumed that he or she is deaf. For this reason, that child may not attend school.

  • Process
  • Impact on patient's life
  • Risks and side-effects
  • Accessibility
  • Alternatives

What does the treatment process look like?

A myringoplasty is the closure of the perforation of the tympanic membrane. The temporalis fascia is grafted. An incision is made along the edge of the perforation, and a ring of epithelium is removed. A strip of mucosal layer is removed from the inner side of the perforation. The middle ear is packed with gelfoam soaked with an antibiotic. The edges of the graft should extend under the margins of the perforation, and a small part should extend over the posterior canal wall. The tympanomeatal flap is then replaced.

What is the impact of this treatment on the patient’s life?

This surgery will repair the perforated tympanic membrane, treat the infection, and stop the ear discharge. This operation has a high success rate of hearing improvement.

What potential side effects or risks come with this treatment?

This surgery is highly effective with few risks.

How accessible is treatment in the area? What is the typical journey like for a patient to receive care?

Treatment for chronic ear infections is not widely available in Cambodia. There are only a handful of doctors in the country that will perform a myringoplasty, but their services are expensive. Children's Surgical Centre is the only affordable treatment option for patients coming in with chronic otitis media on one or both sides.

What are the alternatives to this treatment?

The alternative to surgery is antibiotic ear drops, but they have a far lower success rate. Many people neglect their pain and discharge for years, until total loss of hearing becomes a reality.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Meet another patient you can support

100% of your donation funds life-changing surgery.