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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.

  • 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.

Meet another patient you can support

100% of your donation funds life-changing surgery.