Breadcrumbs

Ear, nose and throat outpatient services

The Central Adelaide Local Health Network, Ear, Nose and Throat (ENT) unit provides inpatient and outpatient services for patients living in the Central Adelaide Local Health Network (CALHN) area who suffer from ear, nose and throat disorders, salivary gland disorders, pharynx tonsil & adenoid problems and neck masses/inflamatation.

Services are also provided to patients referred from rural and remote areas.

Children are usually managed by referral to the Women’s and Children’s Hospital or an Otorhinolaryngologist as required.

Contact details

Referrals

Royal Adelaide Hospital
Fax: (08) 8222 5989
For all appointments: enquiries and new case appointments: (08) 8222 5718
Review/change of appointments: (08) 8222 5986

The Queen Elizabeth Hospital
Fax: (08) 8222 5989
For all appointments: enquiries and new case appointments: (08) 8222 7010 / (08) 8222 7020
Review/change of appointments: (08) 8222 7010 / (08) 8222 7020

Appointment location

Royal Adelaide Hospital
Surgical Specialties Outpatients: Level 5 Emergency Block, North Terrace Adelaide SA 5000

The Queen Elizabeth Hospital
Outpatients Ground Floor Area 3, 28 Woodville Road, Woodville SA 5011

Services and clinics 

Services provided are:

  • outpatient clinic consultations for diagnosis and management
  • inpatient consultations
  • inpatient admission
  • minor procedures.

Ear, nose and throat outpatients

Although many ear nose and throat conditions require supervision from an Otorhinolaryngologist long term, wherever possible, the objective of an ear, nose and throat outpatient appointment is to provide an assessment of the patient, an opinion regarding the key clinical issues and advice to the patient and the referring practitioner over one to two visits followed by formal discharge from the clinic.

This particularly applies to lesser priority conditions which may have a longer waiting time for an appointment and for which specialised drug therapies and/or disease monitoring are not indicated.

Staff and conditions seen

The Royal Adelaide Hospital

Day Doctors attending Conditions seen Clinic
Monday Mr Suren Krishnan
Mr J C Hodge
Mr Guy Rees
Mr Michael Switajewski
ORL Fellow
Cancers of Head and Neck
Dysphagia/ Hoarseness
OSA
Salivary Gland Disorders
Pharynx, Tonsil
Head and Neck ENT
Tuesday Mr Steve Floreani
Ms Alethea Grobler
Mr Sharad Chawla
CSC Caroline Whiteford
Sinus/nasal
Ear
Dizziness/ Vertigo
Ear Microsuction
Otology/ Sinus
Alt weeks
Nurse Led Microsuction
Wednesday No clinics    
Thursday No clinics    
Friday Mr Sam Arena
Ms Alethea Grobler
Sinus/ Nasal/ Ear/Throat
General
General ENT

Bulk bill clinics

Bulk bill clinics: (named referral required). No bulk bill clinics are conducted at the RAH for ENT clinics.

The Queen Elizabeth Hospital

Day Doctors attending Conditions seen Clinic
Monday Mr Alkis Psaltis Epiphora
Dacrocystitis
Lacrimal
Tuesday Mr Alkis Psaltis
Mr Suresh Rajapaksa
Dr Harshita Pant
ORL Fellow
Surgeon Scientist
Sinus, nasal Rhinology/Skull Base
Rhinology
General
Wednesday Mr Kien Ha
Mr Suresh Rajapaksa
ORL Fellow
Surgeon Scientist
Functional and Cosmetic Rhinoplasty
Blephroplasty
Sinus, nasal
Facial Plastics
Rhinology
Genera
Thursday No clinics    
Friday Professor Peter Wormald
Mr Alkis Psaltis
Mr Steve Floreani
ORL Fellow
Sinus, nasal Rhinology/Skull Base
Facial Plastics
Rhinology
General

Bulk bill clinics

Named referral required. No bulk bill clinics are conducted at the TQEH for ENT clinics.

Referral process

Immediate referral process

Where consultation is 'same day' urgent, the ear, nose and throat (ENT) registrar or the on call ENT registrar if after hours, should be contacted via the Royal Adelaide Hospital switchboard (08) 8222 4000 or the Queen Elizabeth Hospital switchboard (08) 8222 6000 to discuss the Patient. If the condition is life-threatening, the patient should be sent to the nearest Emergency Department.

Less urgent referrals

Preferred method of referral is by fax or letter.

Fax number: (08) 8222 5989

All referrals including those urgently requiring consultation must be in writing and a named referral is preferred.Please fax written referral to (08) 8222 5989.

Non-urgent referrals will be allocated to the next available appointment. Non-urgent referrals may incur a wait. The waiting time for appointment will vary and be dependent on the demand for this service and the medical urgency of the patient’s condition.

Ear, nose and throat problems not considered high priority (see eligibility and referral criteria) may wait a longer time for an appointment. Please consider other options and do not refer to multiple providers regarding the same presenting complaint.

Should changes occur to a patient’s medical condition during the waiting time for an appointment, referrers should send updated clinical information and where appropriate, contact the ENT registrar via the Royal Adelaide Hospital switchboard (08) 8222 4000, or the Queen Elizabeth Hospital switchboard on (08) 8222 6000.

Alternate care options / Health information for low priority conditions while waiting for an appointment or if no appointment is made

Not all patients with ear, nose and throat conditions can be offered appointments in the Central Adelaide Local Health Network (CALHN) ear, nose and throat clinics.

In most cases, the key to appropriate management is a detailed history and examination. Options for obtaining further information regarding various ear, nose and throat conditions and to provide guidance for assessment,investigations and management are listed under ear, nose and throat clinical information sheets below. In some instances, links to factsheets have been included in the table which outlines clinical criteria for referral. 

Post discharge guidelines and information

If the patient or their general practitioner is concerned about a deterioration in the medical condition (see clinical information sheets and table of clinical features indicative of potentially serious pathology and ear, nose and throat assessment is required earlier than planned, a phone call to the ENT registrar on call at RAH (08) 8222 4000 or ENT registrar on call at the QEH switchboard (08) 8222 6000 will allow this to be discussed.

Patients whose medical condition has stabilised or resolved and for whom no further appointment has been made will be formally discharged. If ear nose and throat assessment is required again, a new referral, preferably a named referral (see consultant list) should be faxed to the ear, nose and throat unit on (08) 8222 5989.

Ear, Nose and Throat priorities based on clinical urgency as displayed below:

Immediate priority ENT examples
(not an exhaustive list)
Surgical emergencies and acute surgical conditions where admission is required.
  • Stridor
  • Severe epistaxis
  • Laryngeal obstruction and/or fracture
  • Complicated mastoiditis/ cholesteatoma or sinusitis
  • Pharyngeal/laryngeal foreign body
  • Abscess or haematoma, eg peritonsillar abscess, septal or auricular haematoma, paranasal sinus pyocoele.
Referral process: must be discussed with the ENT registrar or the on call ENT registrar if after hours, via RAH switchboard on (08) 8222 4000 or QEH switchboard on (08) 8222 6000 If the condition is life-threatening, the patient should be sent to the nearest Emergency Department.
Urgent priority ENT examples
(not an exhaustive list)

Condition has the potential to require more complex or emergency care if assessment is delayed.

Condition has the potential to have significant impact of quality of life if care is delayed.

  • Acute facial nerve palsy
  • Sudden hearing loss
  • Severe vertigo
  • Documented sleep apnoea
  • Unexplained cervical lymphadenopathy
  • Oropharyngeal ulceration
  • Severe otitis externa
  • Uncomplicated nasal fracture
  • Dysphagia.
Referral process: referrals should be faxed to (08) 8222 5989. The referral will be assessed and triaged and referrer and patient informed.
Semi urgent priority ENT examples
(not an exhaustive list)

Condition is unlikely to require more complex care if assessment is delayed.

Condition has the potential to have some impact of quality of life is care is delayed.

  • Progressive unilateral nasal obstruction
  • Minor recurrent epistaxis
  • Cancerphobia
  • O.M.E. with effusion
  • Post traumatic pain
  • Persistent sore throat
  • Hoarseness without documented risk factors
  • Progressive asymmetric hearing loss.
Referral process: referrals should be faxed to (08) 8222 5989. Early assessment may be facilitated by addressing the referral to a Otorhinolaryngology consultant by name as this opens additional assessment opportunities.
Non urgent priority ENT examples
(not an exhaustive list)
Low priority
  • Snoring
  • Episodic vertigo
  • Recurrent tonsillitis
  • Symmetrical hearing loss
  • Rhinitis
  • Nasal obstruction
  • Painless otorrhoea

Conditions unlikely to receive an appointment include:

Do not usually need to see an Otorhinolaryngologist unless there are atypical features.

Referral process: low priority for appointment.

Note: it is important to note these guidelines indicate what is clinically desirable, not what is always feasible in terms of delivery which is dependent on size and staffing of the hospital department.

Ear, nose and throat clinical information sheets

The following information sheets about presentations commonly seen in ear, nose and throat outpatients provide the minimum information required for assessing a referral under the headings of: eligibility, priority, differential diagnosis, clinical information and investigations required, pre-referral management strategies and discharge criteria.

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