Department of Health

Specialty: ENT
Age group: Adult

Direct to an appropriate emergency department for an ENT assessment:

  • Sudden or new mass or lump associated with difficulty in breathing or swallowing
  • Sialadenitis with difficulty in breathing
  • Ludwig's angina.

Immediately contact the ENT registrar to arrange an urgent ENT assessment for:

  • Acute inflammatory neck mass with redness, pain or increased swelling.

Criteria for referral to public hospital specialist clinic services

  • Confirmed head and neck malignancy
  • New suspicious solid mass, or cystic neck lumps, present for more than 4 weeks
  • New suspicious solid mass, or cystic neck lumps, in patients with a previous head/neck malignancy
  • Sialadenitis.

Information to be included in the referral

Information that must be provided

  • CT scan of neck, with contrast where appropriate (preferred) or ultrasound.

Provide if available

Any of the following:

  • History of smoking
  • Excessive alcohol intake
  • Full blood count
  • Fine needle aspiration biopsy.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

Where appropriate and available, the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

Not applicable.

Reviewed 27 May 2025

Statewide Referral Criteria

Contact us

Address
50 Lonsdale Street
Melbourne, VIC 3000

Phone
1300 650 172
National Relay Service

Email
plannedcare@health.vic.gov.au

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