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Sam is a sixth grade student from Cambodia who needs $913 to fund a bilateral myringoplasty.

Sam
82%
  • $755 raised, $158 to go
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April 30, 2020

Sam is a 12-year-old student from Cambodia, and the third of four siblings in her family. Her mom sells food at the local market and her dad is a tuk tuk driver. She is in grade 6 at her primary school. Sam’s best subjects are Khmer and English literature and she wants to be a teacher when she grows up. In her free time she enjoys playing games and watching TV.

Five years ago, Sam had an ear infection. This infection caused the tympanic membrane, or the ear drum, in both ears to perforate. For this reason, Sam experiences pain, ear discharge, and hearing loss. She has difficulty communicating with others and the ear infection occasionally causes her a high fever. She is no longer attending school because of her worsening condition.

Sam traveled to our medical partner’s care center to receive treatment. On April 30th, she will undergo a myringoplasty procedure in both ears. During this procedure, surgeons will close the perforations. Our medical partner, Children’s Surgical Centre, is requesting $913 to fund this procedure. This covers medications, supplies, and inpatient care.

“I hope that my daughter’s surgery will be successful so she can go back to school,” Sam’s mother said.

Sam is a 12-year-old student from Cambodia, and the third of four siblings in her family. Her mom sells food at the local market and her dad...

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Sam's Timeline

  • April 30, 2020
    PROFILE SUBMITTED

    Sam was submitted by Sieng Heng at Children's Surgical Centre, our medical partner in Cambodia.

  • April 30, 2020
    TREATMENT OCCURRED

    Sam 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 01, 2020
    PROFILE PUBLISHED

    Sam's profile was published to start raising funds.

  • June 30, 2020
    AWAITING UPDATE

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

  • TODAY
    AWAITING FUNDING

    Sam is currently raising funds for her treatment.

Funded by 23 donors

Funded by 23 donors

Treatment
Bilateral Myringoplasty
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $913 for Sam's treatment
Hospital Fees
$141
Medical Staff
$771
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?

The 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.