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Success! Makara from Cambodia raised $399 for a myringoplasty to improve his hearing.

Makara
100%
  • $399 raised, $0 to go
$399
raised
$0
to go
Fully funded
Makara's treatment was fully funded on February 29, 2016.

Photo of Makara post-operation

March 14, 2016

Makara received myringoplasty surgery to improve his hearing.

During surgery, a doctor from Children’s Surgical Centre (CSC) repaired the tear in Makara’s tympanic membrane. This will improve his hearing and stop the discharge and pain. The operation was a success and Makara will have sutures removed one week after surgery and an audiogram six weeks after surgery to assess his progress.

At the moment, Makara feels mild pain on the wound. However, he is excited to heal and return to work on the farm.

“I am really happy after the surgery,” Makara shared with the staff at CSC.

During surgery, a doctor from Children's Surgical Centre (CSC) repaired the tear in Makara's tympanic membrane. This will improve his hearin...

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February 1, 2016

Meet Makara, a 37-year-old farmer from Cambodia. In his free time, he enjoys planting trees and listening to the radio.

“When Makara was eight, he began having ear discharge and hearing loss in his left ear from otitis media,” reports our medical partner, Children’s Surgical Centre (CSC). Otitis media is an inflammation of the middle ear, usually referred to as an ear infection. These sort of infections are common in areas of Cambodia where hygiene can be poor.

“Over time, this perforated his left tympanic membrane,” CSC continues to explain. For the past almost 30 years, Makara has continued to experience recurrent ear discharge, hearing loss, and a ringing in his ear. “I am unhappy that I have ear pain and there is a bad smell,” Makara shares. “It is difficult to communicate with other people.”

After hearing about CSC on the radio, Makara traveled to CSC with his cousin for proper treatment. For $399, doctors will perform a myringoplasty to repair the tear in Makara’s tympanic membrane. This will improve his hearing and stop the discharge and pain.

Makara is very excited to have his operation so that he can finally hear properly again. “I hope the ear discharge stops and I have good hearing,” he shares.

Meet Makara, a 37-year-old farmer from Cambodia. In his free time, he enjoys planting trees and listening to the radio. "When Makara was ...

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Makara's Timeline

  • February 1, 2016
    PROFILE SUBMITTED

    Makara was submitted by Hannah Callas, Stakeholder Relations Officer at Children's Surgical Centre, our medical partner in Cambodia.

  • February 02, 2016
    TREATMENT OCCURRED

    Makara 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.

  • February 21, 2016
    PROFILE PUBLISHED

    Makara's profile was published to start raising funds.

  • February 29, 2016
    FULLY FUNDED

    Makara's treatment was fully funded.

  • March 14, 2016
    TREATMENT UPDATE

    Makara's treatment was successful. Read the update.

Funded by 12 donors

Funded by 12 donors

Treatment
Myringoplasty
  • Diagnosis
  • Procedure
  • 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.

Myo

Myo is a 38-year-old from Thailand. He lives with his mother, sister, and a nephew in Mae Ku Village in the northern Tak Province. He moved from Burma to Mae Sot in 2008 search of better job opportunities. He and his sister work as agriculture day laborers while his mother looks after his nephew at home. In his free time, Myo loves to listen to music. Around two weeks ago, Myo developed a stomachache after he had dinner. He thought that it was because he had skipped lunch and ate too much during dinner. His mother bought him oral medication from the pharmacy and after he took it, he felt better. The next day, his stomachache returned in the evening. He took more of the same medication which helped to decrease the pain. Myo decided to rest two days at home and not go to work, in the hopes that he would feel better. Nevertheless, three days later he felt worse. He developed a sharp pain in his lower abdomen which made it hard for him to sit down or eat. When he tried to eat, the pain increased and his stomach became bloated. When Myo arrived at Mae Tao Clinic, the medic completed an ultrasound of his abdomen as well as a blood and a urine test. The medic told him that he has fluid build-up in his stomach. The medic inserted a tube through his nose and into his stomach to drain the build-up of fluid. He also received an intravenous (IV) line because he cannot eat anything since he arrived at MTC. If he tries to eat, the pain in his stomach increases. A few days after the tube was inserted through his nose, his stomach became less bloated. When the medic did another ultrasound of his abdomen a few days later he was admitted to the hospital, the medic found a small mass or cyst close to his navel. The medic told him he would have to go to Mae Sot Hospital (MSH) for further investigation and on the 18th of January 2021, Myo went to MSH with an MTC staff. At MSH, the nurse looked at his ultrasound result before scheduling him for a computerized tomography (CT) scan to confirm his diagnosis on 21st of January 2021. Doctors want Myo to undergo a CT scan, a procedure in which x-ray images taken from several angles are combined to produce cross-sectional images of the body. This scan will hopefully help doctors diagnose his condition and formulate an appropriate treatment plan. Our medical partner, Burma Children Medical Fund, is requesting $414 to cover the cost of Myo's CT scan and care, scheduled for January 21st. Myo's sister said, “Since my brother got sick, he cannot work, and I also cannot work because I have to accompany him. We do not have an income when we do not work and now, we are in debt.” Myo added, “I want to recover and work so that I can pay back our debt.”

13% funded

13%funded
$56raised
$358to go

Meet another patient you can support

100% of your donation funds life-changing surgery.