Ear, Nose and Throat

Royal Perth Hospital (RPH) provides a comprehensive Ear, Nose and Throat (ENT) service for planned and unplanned admissions, as well as general ENT services. These services include planned high volume short stay admissions for residents within the local catchment and an emergency ENT service which supports the Emergency Department and the Major Trauma Centre at RPH.

RPH manages ENT trauma and complex elective surgery and medium complexity head and neck surgery, including thyroid and parathyroid procedures. Patients requiring base-of-skull and cancer related surgery with follow up oncology treatments are referred to either Fiona Stanley Hospital (FSH) or to Sir Charles Gairdner Hospital (SCGH).

RPH provides a tertiary and general service with close links to the comprehensive cancer centres at FSH and SCGH.

The service also includes an extensive and comprehensive outpatient ENT service for adults supported by multidisciplinary professional teams.

Areas of work:

  • major ENT trauma
  • emergency ENT surgery
  • medium complexity head and neck surgery
  • otology and neuro-otology not requiring neurosurgery
  • routine rhinology (septoplasty, functional endoscopic sinus surgery, septorhinoplasty or endoscopic surgery)
  • otology procedures – comprehensive hearing implant service, including cochlear implantation
  • laryngology
  • thyroid and parathyroid surgery.

Many adult ENT conditions such as sinusitis and tonsillitis are best managed in the community by General Practitioners. For those patients where community management has not been effective please consult the inclusion/exclusion criteria on the Central Referral Service website (external link) and follow the usual referral process and form (external link).

Further information regarding primary care management of ENT conditions is available on the HealthPathways WA website (external link). Please email the HealthPathways team to obtain the login details: healthpathways@wapha.org.au. HealthPathways are currently working on responding to the new criteria and will have all the ENT pathways adapted to WA as soon as possible.

Excluded procedures outpatient referrals

While the WA Health Excluded Procedures precludes procedures performed for cosmetic or other non-medical reasons, procedures which meet an identified clinical need to improve the health of the patient may be undertaken in public hospitals. To avoid patients unnecessarily waiting for and attending appointments in cases where surgery cannot be offered at Royal Perth Hospital, referral criteria have been established for abdominal lipectomy, breast reduction, blepharoplasty, male circumcision, rhinoplasty and varicose veins.

Visit the referral criteria for each of the six WA Health excluded procedures page for more information.

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Last Updated: 01/07/2022