Royal London Emergency Paediatric ENT

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For urgent paediatric ENT referrals that cannot wait for routine treatment.


Eligibility criteria

Inclusions

  • Unresolving otitis external or otitis media
  • Sudden sensorineural hearing loss
  • Foreign bodies in the ear/ nose
  • Acute facial palsy
  • Fractured nose, within 5 days (WITHOUT septal haematoma)
  • Recurrent epistaxis
  • Acute TM injury
  • Acute neck swelling

FOR ANY GUIDANCE AND ADVICE PLEASE CONTACT THE ON CALL TEAM VIA SWITCHBOARD

Exclusions

  • Unexplained neck lump
  • Persistent hoarseness >3 weeks
  • Throat pain>4 weeks in >40 yr olds
  • Sero-sangiunous nasal discharge > 3 weeks
  • Unilateral purulent nasal discharge (not FB related)
  • Orbital mass• Not resolving severe facial pain
  • Lesion /suspicious lump or red/white patches in lip/oral cavity (consider Maxfax)
  • Poor healing in oral cavity >3 weeks (consider MaxFax)

FOR ANY OF THE ABOVE – GP SHOULD BE ADVISED TO REFER VIA SUSPECTED H&N CANCER (2WW)OTHER CASES

  • Ear wax – GP should refer to Nurse-Led Aural Care (Microsuction) Clinic or a General ENT Clinic

Very acute referrals – SEND TO A&E- Examples:

  • Epistaxis
  • Acute mastoiditis
  • Unable to eat & drink
  • Breathing difficulty

Chronic problems (>6 weeks) - refer to Consultant-led ENT clinics- Examples:

  • Recurrent ear/sinus/throat infections
  • Decreased hearing
  • Dysphonia
  • Nasal obstruction

How to refer

The following clinicians can refer to this service:

Letter

Referral methods: e-Referrals

Service Name: Emergency Paediatric ENT (RLH) Barts Health NHS Trust- R1H

Service ID: 7944247

Service Location: THE ROYAL LONDON HOSPITAL

Service Provider Organisation: BARTS HEALTH NHS TRUST

Specialty: Children's & Adolescent Services

Age Range Treated: 16 years and under