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Otitis media – with effusion (OME or glue ear)


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • No category 1 criteria
  • Category 2
    (appointment within 90 calendar days)
    • Confirmed or suspected structural damage to the tympanic membrane e.g. significant retraction, cholesteatoma
    • Effusion
      • in the setting of speech delay or educational handicap
      • lasting more than 3 months with audiometry showing significant bilateral conductive hearing loss (45dB or greater better ear)
    • Children with physical/structural/ medical comorbidities e.g. cleft palate, craniofacial abnormalities, diabetes, SNHL
  • Category 3
    (appointment within 365 calendar days)
    • Effusion lasting more than 3 months with audiometry showing mild bilateral conductive hearing loss (20-45dB better ear)
    • Unsteady gait/balance problems
    • Glue ear for 3 months with mild HL

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • General referral information

3. Additional referral information Useful for processing the referral

  • Diagnostic audiology assessment results (Highly desirable where available and not cause significant delay)
  • Results of health assessment for Aboriginal and/or Torres Strait Islander People

4. Request

Last updated: 13 June 2023