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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.

  • February 2, 2016
    TREATMENT OCCURRED

    Makara 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.

  • 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

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Ma Win

Ma Win is an 18-year-old girl who lives with her parents, sister and brother-in-law in Yangon, Burma. Ma Win’s sister works at a clothing factory, while her brother-in-law works as a day laborer. Her parents are homemakers. Before Ma Win's current illness, she also worked at a factory. When Ma Win was four years old, she experienced a bout of high fever, and was brought to the local clinic. She received an injection, and the doctor informed her parents that she was born with a heart problem. However, she was too young at the time for corrective surgery. Instead, she was sent home with medication, and appeared to be doing well until this past year. In April, Ma Win began experiencing chest pains, high fever and difficulty breathing. She went to a clinic, and received an x-ray and an echocardiogram. After the doctor checked her results, she was diagnosed with an opening between two major blood vessels leading from the heart. The doctor told her and her family that she would need to have surgery. When Ma Win explained to the doctor that her family could not afford to pay for the surgery, she was referred to the abbot of a local monastery, who provided the family with information about our medical partner, Burma Children Medical Fund. Now Ma Win is scheduled for cardiac surgery on October 23rd at Pun Hlaing Hospital. After she has recovered, she should no longer experience chest pains or difficulty breathing, and she won't have to worry any longer about her condition. She will also be able to return to work, which will help ease her family's financial burdens. Now she needs your help to raise $1,500 to cover the cost of her procedure. Ma Win said: “I am scared to receive surgery, but my mother tries to encourage me. However, I am very happy that I will be able to receive treatment with your help. I would like to say thank you so much to all the donors.”

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Mey Ching

Mey Ching comes from Banteay Meanchey province in Cambodia. She lives with her parents - her father is a cook and her mother is a factory worker. She has a 15-year-old brother in grade seven and a 13-year-old sister in grade four. Mey Ching should be in second grade but is not currently in school because of her disability. She stays at home and likes to paint, watch TV and sit outside with her parents. Since birth, Mey Ching has had a condition with both of her legs which have become increasingly bowing outward at her knees. She cannot walk far and is in pain when she does. This has prevented her from attending school and socializing with peers. Mey Ching's parents traveled eight hours to Children's Surgical Centre for a diagnosis and treatment. Doctors have tentatively diagnosed her with a condition found in children that affects the growth plates around the knee. The disease causes the growth plate near the inside of the knee to either slow down or stop making new bone. She will need an operation to correct both of her bowing tibias. If not treated, it can lead to progressive deformities of her legs however surgical treatment will correct her bowed legs. Mey Ching's family needs help to pay for this $521 procedure at CSC to save their daughter from permanent disability. Mey Ching's mother said: "We are so worried that Mey Ching will never walk or attend school. We are hopeful that the doctors at CSC can fix her legs so she can go to school and play with friends."

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Meet another patient you can support

100% of your donation funds life-changing surgery.

Ma Win

Ma Win is an 18-year-old girl who lives with her parents, sister and brother-in-law in Yangon, Burma. Ma Win’s sister works at a clothing factory, while her brother-in-law works as a day laborer. Her parents are homemakers. Before Ma Win's current illness, she also worked at a factory. When Ma Win was four years old, she experienced a bout of high fever, and was brought to the local clinic. She received an injection, and the doctor informed her parents that she was born with a heart problem. However, she was too young at the time for corrective surgery. Instead, she was sent home with medication, and appeared to be doing well until this past year. In April, Ma Win began experiencing chest pains, high fever and difficulty breathing. She went to a clinic, and received an x-ray and an echocardiogram. After the doctor checked her results, she was diagnosed with an opening between two major blood vessels leading from the heart. The doctor told her and her family that she would need to have surgery. When Ma Win explained to the doctor that her family could not afford to pay for the surgery, she was referred to the abbot of a local monastery, who provided the family with information about our medical partner, Burma Children Medical Fund. Now Ma Win is scheduled for cardiac surgery on October 23rd at Pun Hlaing Hospital. After she has recovered, she should no longer experience chest pains or difficulty breathing, and she won't have to worry any longer about her condition. She will also be able to return to work, which will help ease her family's financial burdens. Now she needs your help to raise $1,500 to cover the cost of her procedure. Ma Win said: “I am scared to receive surgery, but my mother tries to encourage me. However, I am very happy that I will be able to receive treatment with your help. I would like to say thank you so much to all the donors.”

67% funded

67%funded
$1,015raised
$484to go