|
Tertiary level referrals only
The following constitute appropriate bases for referral:
1. Underlying medical conditions, requiring ongoing care at CHEO, eg.
- Complex cardiac condition
- Oncology clinic patients
- Diabetes, metabolic, renal issues
2. Underlying genetic syndromes, e.g.
- Trisomy 21
- CHARGE Syndrome
- Digeorge Syndrome
- Velocardiofacial Syndrome
3. Sensorineural hearing loss
- Failed infant hearing screening
4. Cranofacial abnormalities, e.g.
- Cleft lip and palate
- Craniosynostotis
5. Airway concerns, e.g.
- Stridor
- Recurrent croup
- Vocal cord paralysis
- Aspiration
- Suspected choanal atresia or significant nasal obstruction
6. Voice issues
- Hoarseness, seen in voice clinic when over 4-5 years of age
|
7. Drooling
- Saliva Management clinic accepts patients less than or equal to 5 years of age.
8. Hypernasality
- the consult is triaged and a nasality test is arranged by our triage team, with the help of our Cleft Palate Co-ordinator. Please include any speech therapy consultations.
9. Head and neck masses
10. Nasal fractures
- Fax the consult stating the DATE OF INJURY, not just the date of your assessment, and we will call the patient for an appointment 5-7 days AFTER the injury.
11. Severe complications of otitis media, e.g. (not isolated, acute perforation due to acute otitis media)
- Mastoiditis
- Otitis media in a neonate
- Persistent perforation once acute otitis media is resolved
12. Aural atresia
13. Suspected Cholesteotoma
14.Traumatic perforation:we will see at the 6 week mark, preferably with an audiogram. Please use Ciprodex otic drops x1 week and instruct patients to keep the ear/ears dry.
15. Significant suspected obstructive sleep apnea (OSA)
16. Sibling of current ENT patient (please state the treating ENT surgeon) |