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Dalin is a future doctor from Cambodia who needs $925 to fund a mastoidectomy so he can hear clearly.

Dalin
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  • $824 raised, $101 to go
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February 17, 2021

Dalin is a 13-year-old 7th grade student, with one younger sister. His parents are both rice farmers. Dalin’s favorite subjects in school are Khmer and math. His favorite meal is called koko sou with roast chicken and juice. Dalin shared with us that he wants to be a doctor when he grows up.

Five years ago, Dalin had an 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, Dalin experiences hearing loss, tinnitus and ear discharge. It is difficult for him to hear at school. He’s often absent from class due to the ear discharge.

Dalin’s family traveled to our medical partner’s care center to finally receive treatment. On February 17th, he will undergo a mastoidectomy procedure in his left 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 at the hospital.

Dalin said, “I hope my hearing will improve and the ear discharge will stop after surgery.”

Dalin is a 13-year-old 7th grade student, with one younger sister. His parents are both rice farmers. Dalin's favorite subjects in school ar...

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Dalin's Timeline

  • February 17, 2021
    PROFILE SUBMITTED

    Dalin was submitted by Sieng Heng at Children's Surgical Centre, our medical partner in Cambodia.

  • February 17, 2021
    TREATMENT OCCURRED

    Dalin 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 18, 2021
    PROFILE PUBLISHED

    Dalin's profile was published to start raising funds.

  • April 5, 2021
    AWAITING UPDATE

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

  • TODAY
    AWAITING FUNDING

    Dalin is currently raising funds for his treatment.

Funded by 27 donors

Funded by 27 donors

Treatment
Mastoidectomy
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $925 for Dalin'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.