Ear, Nose and Throat (ENT)
- Acute nasal fracture
- Benign paroxysmal positional vertigo (BPPV)
- Epistaxis - persistent or recurrent
- Foreign bodies in ear/nose
- Hearing Loss
- Lower Motor Neuron Facial palsy
- Neck mass
- Otitis externa - Acute
- Otitis Media
- Salivary gland mass
- Sialadenitis - acute or recurrent
- Sleep apnoea/disturbed sleep in children
- Vestibular neuritis
Assessment and management of ear, nose and throat conditions – adult and paediatric.
North South North West Statewide
THS Southern and Northern Regions
The following conditions are not routinely seen at ENT Clinic.
- Prescription of hearing aids - refer to Australian Hearing Services or private audiologist.
- Aesthetic surgery procedures
- Facial pain - refer to Oral Maxillo Facial Unit (Link to OMFU page)
- Migraines - refer to Neurology or General Medicine
- Adult allergy testing
The conditions below do not require the specialist, tertiary services of the hospital and can be managed in a primary care setting. Suggestions are made for primary care management, and patients should only be referred if these approaches have been unsuccessful:
Please note we do not provide hearing aids.
Please note due to the high demand for ENT services, we are unable to accept most routine referrals at present.
If patients are referred for hearing loss they may be seen by an audiologist and it is requested that the referrals are marked with Audiologist/ENT to allow them to be seen by both services.
THS Southern Region: If you would like to discuss concerns regarding an ENT patient's treatment/management, such as medication and new changes, please send a letter with details including your best contact number and times to fax number (03) 6234 9454. Within one or two days of receipt the patient's treating Consultant, ENT Registrar or on-call ENT specialist will contact you by phone or fax.
THS North West Region does not offer a public service. See Health Pathways for more information.
Emergency symptoms/condtions in ENT include but are not confined to:
- Airways distress: noisy breathing/breathing difficulty/stridor
- severe odonophagia with or without subsequent dehydration.
- Abscess eg quinsy, salivary gland abscess, paranasal/sinus pyocele
- Haematoma formation eg.septal or auricular.
- tonsillar haemorrhage
- Severe rhinosinusitis associated with visual disturbance, neurological signs, frontal swelling and severe headache
- Batteries ingested or as nasal foreign bodies
- Nasal fracture with new deviation and/or septal haematoma
- Hoarseness associated with neck trauma or surgery or laryngeal obstruction
- All nasal, hypopharyingeal or upper oesophageal foreign bodies
- Vestibular neuritis with CNS signs
- Disproportionate otalgia
- Otitis externa with occlusive oedema
- Complicated Mastoiditis/cholesteatoma
- Complicated sinusitis
- Otitis media with neurological signs.
- Uncontrolled epistaxis
- Sudden hearing loss
- Otorrhea associated with hearing loss
- Sudden idiopathic hearing loss with tinnitus or vertigo
A referral (preferably faxed) is required for all new appointments and must conform to the Referral Standards as outlined on For Clinicians.
Referrals are registered by the clinic to who they are referred and are triaged according to the specific clinic guidelines.
Emergency patient should be sent directly to the Emergency Department.
Please note, due to the high demand for ENT services, we are unable to accept most routine referrals at present.
The referring GP must include:
- Clear statement of symptoms
- Duration of problem
- Functional impact
- Risk factors
- For hearing issues an audiology report must be obtained or at the very least an office based formal hearing testing results performed in the GP clinic.
- Date of last audiology examination – include report
- Current diagnostic report if indicated in the referral guidelines
If the GP is unable to ascertain the clinical information required to identify the thresholds, this may be obtained from an Audiologist in some circumstances.
Audiology Clinic for newborn screening, cochlear implant assessment and some non medical rehabilitation for hearing. Adult hearing testing is by exception only and by in house referral. Very limited external referral for paediatric patients is available.
Clinic Appointments - Appointments are based on clinical priority:
Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340 Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100 Fax: (03) 6173 0489
Urgent / category 1
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
Semi-urgent / category 2
We will endeavour to see these patients within 12 weeks
Routine / category 3
Next available appointment
For use by health professionals only
Acknowledgement to The Royal Victorian Eye & Ear Hospital Primary Care Referral Guidelines - ENT, Alfred Hospital Referral Guidelines ENT/Otolaryngology and Geelong Hospital Outpatient Referral Guidelines ENT/Otlaryngology.
Direct link to Health Pathways - ENT general page