Meet another patient

Watsi logo blueWatsi

Nou from Cambodia raised $809 to remove a cyst on her ear.

Nou
100%
  • $809 raised, $0 to go
$809
raised
$0
to go
Fully funded
Nou's treatment was fully funded on December 2, 2015.

Photo of Nou post-operation

December 24, 2015

Nou received surgery to remove the cyst on her ear.

After her mastoidectomy to treat bilateral cholesteatoma, Nou is now recovering. “Nou’s mastoidectomy went well and her left ear is healing,” reports our medical partner, Children’s Surgical Centre (CSC). “She will have ear packing and sutures removed in 10 days and an audiogram operation after 6 weeks. Nou reports having mild pain around her wound, but has no signs of vertigo and her ear discharge has stopped.”

“I am really happy after my ear surgery because my ear disease is healed and the discharge has stopped,” Nou says. “Now, I hope to return to work once I am better and hope to have improved hearing.”

After her mastoidectomy to treat bilateral cholesteatoma, Nou is now recovering. "Nou's mastoidectomy went well and her left ear is healing,...

Read more
November 11, 2015

Meet 46-year-old Nou from Cambodia. “Nou is married with one son. She works as a seller at the market,” reports our medical partner, Children’s Surgical Centre (CSC). “In her free time, Nou likes to clean her house and study English.”

Nou has a bilateral cholesteatoma, a non-cancerous skin cyst in the middle section of the ear. Over time, this skin growth can increase in size and destroy the surrounding delicate bones of the middle ear, resulting in loss of hearing and potential facial paralysis. “When Nou was 18-years-old, she began having ear discharge on both sides, with hearing loss, tinnitus [ringing in the ears], and pain,” continues CSC.

With $809, Nou can receive a mastoidectomy in order to surgically remove cells in the hollow, air-filled spaces in the skull behind the ear and relieve her unpleasant symptoms. CSC explains, “After a mastoidectomy procedure, the ear discharge will stop, and Nou will be able to have improved hearing.”

Nou and her husband remain hopeful for treatment and are eager to restore her good health. She tells us, “I hope the ear discharge will stop, and I can have good hearing without pain.”

Meet 46-year-old Nou from Cambodia. “Nou is married with one son. She works as a seller at the market,” reports our medical partner, Childre...

Read more

Nou's Timeline

  • November 11, 2015
    PROFILE SUBMITTED

    Nou was submitted by Hannah Callas, Stakeholder Relations Officer at Children's Surgical Centre.

  • November 12, 2015
    TREATMENT OCCURRED

    Nou received treatment at Kien Khleang National Rehabilitation Centre in Cambodia. 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.

  • December 1, 2015
    PROFILE PUBLISHED

    Nou's profile was published to start raising funds.

  • December 2, 2015
    FULLY FUNDED

    Nou's treatment was fully funded.

  • December 24, 2015
    TREATMENT UPDATE

    We received an update on Nou. Read the update.

Treatment
Mastoidectomy
  • Diagnosis
  • Procedure
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

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

A mastoidectomy is a surgical procedure that removes diseased mastoid air cells. A patient who needs a mastoidectomy will experience hearing loss, chronic ear infections, and possibly cholesteatoma—an abnormal skin growth in the middle ear. Cholesteatomas cause hearing loss and ear discharge. The cholesteatoma will erode bones in the middle ear and can eventually expose the brain and cause death in complicated, untreated cases.

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

Patients live with hearing loss and chronic ear infections.

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

Treated incorrectly or left untreated, an infected mastoid bone can cause hearing loss, persistent ear discharge, meningitis, temporary dizziness, and temporary loss of taste. Due to poor hygiene and limited education in rural Cambodia, patients are likely to experience complications and receive the incorrect treatment.

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

What does the treatment process look like?

A mastoidectomy is performed with the patient asleep under general anesthesia. Surgeons will perform one of several different types of mastoidectomy, depending on the amount of infection present. These include: • Simple (or closed) mastoidectomy: The operation is performed through the ear or through an incision behind the ear. The surgeon opens the mastoid bone and removes the infected air cells. The eardrum is incised to drain the middle ear. Topical antibiotics are placed in the ear. • Radical mastoidectomy: This procedure removes the most bone and is usually performed for extensive spread of a cholesteatoma. The eardrum and middle ear structures may be completely removed. Usually the stapes, the "stirrup"-shaped bone, is spared to preserve some hearing. • Modified radical mastoidectomy: In this procedure, some middle ear bones are left in place, and the eardrum is rebuilt by tympanoplasty. After surgery, the wound is stitched up around a drainage tube, and a dressing is applied.

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

This treatment will relieve chronic ear infections, hearing loss, and other symptoms caused by the infected mastoid bone.

What potential side effects or risks come with this treatment?

This treatment is highly effective, but it poses risks if performed by an inexperienced surgeon. The operation is near the facial nerve and the brain, so surgeons must be careful when operating. At Children's Surgical Centre, ENT surgeons only operate on cases about which they feel confident.

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

Care for this condition is not easily accessible in Phnom Penh. Only one other hospital performs ENT surgery, but care at that hospital is expensive. The ENT surgeons at our medical partner have a proven record of successful cases.

What are the alternatives to this treatment?

Once the infection stops responding to antibiotics, surgery is the only option.

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.