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Rithy is a kindergartner from Cambodia who needs $925 to fund a mastoidectomy to restore his hearing.

Rithy
72%
  • $672 raised, $253 to go
$672
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$253
to go
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May 6, 2020

Rithy is a 5-year-old student from Cambodia. He began kindergarten this year, and is excited to join Grade One next year. He has three siblings. Rithy’s mother sells fruit at a local market, and his father is a tuk tuk driver. He and his older sister love to paint pictures together, and he is currently learning writing.

Three years ago, Rithy had a serious ear infection. This infection caused a cholesteatoma, or an abnormal skin growth, to develop in the middle ear behind the ear drum. For this reason, Rithy experiences hearing loss, ear discharge, and fever. It is difficult for him to hear what the teachers say at school, and he is often absent from class due to his ear discharge and fever.

Rithy traveled to our medical partner’s care center to receive treatment. On May 6th, he will undergo a mastoidectomy procedure in his right ear. During this procedure, ENT surgeons will remove the cholesteatoma. Our medical partner, Children’s Surgical Centre, is requesting $925 to fund this procedure. This covers medications, supplies, and inpatient care.

His parents said, “This problem has been bad for his hearing in both ears, so we worry about his ability to go to school in the future. We hope that after surgery, he can start his first full year at school with all his hearing.”

Rithy is a 5-year-old student from Cambodia. He began kindergarten this year, and is excited to join Grade One next year. He has three sibli...

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Rithy's Timeline

  • May 6, 2020
    PROFILE SUBMITTED

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

  • May 06, 2020
    TREATMENT OCCURRED

    Rithy 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.

  • May 06, 2020
    PROFILE PUBLISHED

    Rithy's profile was published to start raising funds.

  • July 01, 2020
    AWAITING UPDATE

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

  • TODAY
    AWAITING FUNDING

    Rithy is currently raising funds for his treatment.

Funded by 24 donors

Funded by 24 donors

Treatment
Mastoidectomy
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $925 for Rithy's treatment
Hospital Fees
$153
Medical Staff
$771
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 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.