Criteria for routine specialist referral via CRS

Patients must present with unilateral or pulsatile tinnitus with tuning forks consistent with conductive or sensorineural loss. To meet the criteria patients must have undergone an audiological assessment and continue to experience persistent symptoms despite ongoing management.

Routine referral information required

  • clinical history and examination considering:
    • appearance of the ear canal effusion or cerumen history/presence
    • tinnitus, otalgia or otorrhoea history/findings
    • audiological assessment
    • degree of disability caused.
  • previous antibiotic or irrigation prescriptions
  • previous surgical history
  • audiology report and audiogram results and report must be included (or state reason why not undertaken)
  • if pulsatile, report of contrast CT scan (brain, skull base and neck)
  • if unilateral non-pulsatile, report of MRI of the internal auditory meatus or state reason why not undertaken.

Information about community management

Further information regarding primary care management of ENT conditions is available on HealthPathways WA (external site). 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.