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Pisal is a boy from Cambodia who needs $423 to fund ear surgery.

Pisal
97%
  • $412 raised, $11 to go
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March 4, 2019

Pisal is a sixth grade student from Cambodia. He loves to study Khmer literature and mathematics, and hopes to be an accountant when he grows up.

Since he was five years old, Pisal had an ear infection. This infection caused the tympanic membrane, or the ear drum, in his right ear to perforate. For this reason, Pisal experiences pain, discharge, itchiness, and hearing loss. He is unable to hear properly during school and cannot communicate well with others due to his lack of hearing.

Pisal traveled to our medical partner’s care center to receive treatment. On March 5, he will undergo a myringoplasty procedure in his right ear. During this procedure, surgeons will close the perforation. Our medical partner, Children’s Surgical Centre, is requesting $423 to fund this procedure. This covers medications, supplies, and inpatient care.

He says, “I hope that after my surgery, I am able to attend school and participate in my activities like normal.”

Pisal is a sixth grade student from Cambodia. He loves to study Khmer literature and mathematics, and hopes to be an accountant when he grow...

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Pisal's Timeline

  • March 4, 2019
    PROFILE SUBMITTED

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

  • March 05, 2019
    TREATMENT OCCURRED

    Pisal 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.

  • March 05, 2019
    PROFILE PUBLISHED

    Pisal's profile was published to start raising funds.

  • March 06, 2019
    AWAITING UPDATE

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

  • TODAY
    AWAITING FUNDING

    Pisal is currently raising funds for his treatment.

Funded by 6 donors

Funded by 6 donors

Treatment
Myringoplasty
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $423 for Pisal's treatment
Hospital Fees
$78
Medical Staff
$344
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.