J Med Assoc Thai 2018; 101 (5):77

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Ear, Nose, Throat, and Craniofacial Disease Screening in Primary School: Khon Kaen University 2017 Initiative
Piromchai P Mail, Laohasiriwong S , Saesiew P , Teeramaswanitch W , Reechaipichitkul W

Background: In 2017, Khon Kaen University was asked by the local community of Tambon Lao, Amphoe Kosum Phisai, Maha Sarakham Province to arrange a health project that could benefit the community. As this is a non-profit, community service, the request was fulfilled by the university. The Department of Otolaryngology-H&N Surgery volunteered and was selected as the primary project leader.
Materials and Methods: The first meeting with the local community leaders was held and it was agreed that screening of ear, nose, throat and craniofacial diseases be conducted as a pilot project in a primary school. The physical examination by the otolaryngologists included (a) a general appearance examination, (b) an ear examination using otoscopy, (c) a throat and neck examination, and (d) a nasal examination using rhinoscopy.
Results: From the 373 students who were enrolled in the study, 365 were screened for ear, nose, throat, and craniofacial disorder (97.9%). One student had a craniofacial anomaly (1.4%). The ear examination revealed pathologies in around 10 to 35% of subjects. The throat examination revealed problems in less than 10 to 20% of participants. Significant lymphadenopathy was found <5% of students. No significant nasal diseases were found among the students.
Conclusion: A pilot project was organized with the cooperation of local leaders and the community to conduct screening for ear, nose, throat, and craniofacial diseases among primary school students.

Keywords: Otolaryngology, Craniofacial anomaly, Screening

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