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Ear, Nose and Throat


+ Emergency

If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.

Adult

EAR

  • ENT conditions with associated neurological signs
  • Sudden onset hearing loss in absence of clear aetiology and/or associated with vertigo and tinnitus
  • Sudden onset debilitating constant vertigo where the patient is very imbalanced (vestibular neuritis/stroke)
  • Sudden onset facial weakness
  • Barotrauma with sudden onset vertigo
  • Foreign body
  • Complicated mastoiditis/cholesteatoma or sinusitis (periorbital cellulitis, frontal sinusitis with persistent frontal headache)
  • Ear canal oedema/unable to clear discharge
  • Trauma

NOSE

  • Acute bacterial rhinosinusitis - visual disturbance/signs, neurological signs/frontal swelling/severe unilateral or bilateral headache
  • Acute nasal fracture with septal haematoma
  • Severe or persistent epistaxis

THROAT

  • Airway compromise- stridor/drooling breathing difficulty/acute or sudden voice change/severe odynophagia
  • Ludwig’s angina
  • Acute tonsillitis with airway obstruction and/or unable to tolerate oral intake and/or uncontrolled fever
  • Tonsillar haemorrhage
  • Acute hoarseness associated with neck trauma or surgery
  • Laryngeal obstruction and/or fracture
  • Pharyngeal/laryngeal foreign body
  • Accidental dislodgement or obstruction of permanent tracheostomy
  • New onset of bleeding or shrinkage of laryngectomy stoma
  • Abscess or haematoma, (e.g. peritonsillar abscess/quinsy, salivary abscess, septal or auricular haematoma, paranasal sinus pyocele) with or without associated cellulitis

Paediatric

 EAR

  • Foreign body
  • Trauma
  • ENT conditions with associated neurological signs e.g. facial nerve palsy, profound vertigo and/or sudden deterioration in sensorineural hearing
  • Acute and/or complicated mastoiditis
  • Otitis externa with uncontrolled pain and/or cellulitis extending beyond the ear canal and/or ear canal is swollen shut
  • Auricular haematoma

NOSE

  • Foreign body (button batteries)
  • Trauma
  • Periorbital cellulitis with or without swelling with or without sinusitis
  • Severe or persistent epistaxis
  • Septal haematoma

THROAT

  • Foreign body (button batteries – inhaled or ingested)
  • Airway compromise: severe stridor/drooling/ breathing difficulty/acute, sudden voice change/ severe odynophagia
  • Trauma
  • Abscess or haematoma (e.g. peritonsillar, parapharyngeal (quinsy), salivary, neck or retropharyngeal abscess)
  • Post-tonsillectomy haemorrhage
  • Hoarseness associated with neck trauma or surgery

+ Urgent referrals

To request an urgent outpatient appointment, please phone the Ipswich hospital’s switchboard on 3810 1111 and ask to speak to the ENT Registrar on-call.

Conditions seen at West Moreton Health

+ Out of scope services

The following are not routinely provided in a public ENT service.

  • Chronic bilateral tinnitus
    • referral is not indicated unless tinnitus is disabling or associated with changes in hearing loss, aural fullness and/or discharge or vertigo
  • Mild/brief orthostatic dizziness
  • Hearing aid dispensation
  • Uncomplicated/chronic symmetrical hearing loss in over 70 years old
  • Mild acute rhinosinusitis
  • Aesthetic surgery

    NB  General Practitioners are able to directly refer patients to Queensland Health (QH) Audiologist. QH Audiologist are able to offer diagnostic hearing assessments which can result in a recommendation of hearing aids or an ENT opinion; however they do not fit hearing aids. Queensland public hospitals do not dispense conventional or standard hearing aids. Patients with mild, moderate or severe hearing loss, which is symmetrical, should be referred to a local hearing aid provider. Hearing aids are provided for children, veterans and pensioners through the Office of Hearing Services, a division of the Federal Department of Health, and are dispensed by local audiologists.

+ Notes

  • Please note that where appropriate and where available, the referral may be streamed to an associated public allied health and/or nursing service. Access to some specific services may include initial assessment and management by associated public allied health and/or nursing, which may either facilitate or negate the need to see the public medical specialist.
  • A change in patient circumstance (such as condition deteriorating, or becoming pregnant) may affect the urgency categorisation and should be communicated as soon as possible.
  • Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.

Out of catchment

West Moreton Health is responsible for providing a public health service to people who reside within its catchment area. To appropriately manage demand for service we do not accept referrals from outside this catchment area. If your patient does live outside the West Moreton Health area and it is deemed socially or clinically necessary for their care to be received in the West Moreton Health Service, inclusion of information regarding their particular medical and/or social factors will assist with the triaging of your referral.

Feedback

To provide feedback about contents on this website or general referral questions please email WM-CPC@health.qld.gov.au or phone 3413 7402.



Last updated: Sunday, August 12, 2018

Send referrals to


Secure messaging:
Secure web transfer IQ43050005G

General Fax:
3810 1438

Priority Fax for urgent category 1 referrals:
3413 7277

Post:
Outpatients Referrals Centre
PO Box 73, Ipswich
Queensland, 4305

Patient Enquiries:
3810 1217

GP/Specialist Referral Enquiry:
3810 1869 or 3810 1858


Named referrals

If you would like to send a named referral, please address it to the specialist on the referral template, who will allocate a suitably qualified specialist to see the patient.

From July 1 2017 Commonwealth growth funding has been capped. This changes how WMHS can fund its growth as an organisation. Named referrals from GP’s help support hospital funding through a Medicare bulk-billing arrangement. The new federal funding model incorporates specific pricing for patients which removes concerns around ‘double dipping'. This benefits hospital and patient services.


Patient must bring

  • Medicare card
  • Any concession cards (e.g. Pension, Health Care, DVA, PBS Safety Net, ADF, etc)