North South North West Statewide

Pre-referral work-up


Inflammation of the nose and the paranasal sinuses.

All referrals should comply to the referral standards and include:

  • History of the condition – chronic means >12 weeks
  • Acute should only be referred under emergency conditions
  • History of polyps
  • History of unilateral purulent rhinorrhoea could indicate FB in child


  • Microbiology – swab for m/c/s
  • CT scan for adults

Interim/GP management

To refer a patient with this condition, please see the ENT clinic page for the full referral process and templates.

Direct link to Health Pathways - Acute and Chronic sinusitis pages

For more information please see the Tasmanian Health Pathways website.


Visual disturbance/signs, epistaxis, neurological signs/ frontal swelling/severe unilateral or bilateral headache

Severe acute rhinosinusitis – fever >380, raised CRP

Routine / category 3

  • Persistent after three months
  • Bilateral nasal polyps

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.


Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 8302  Fax: (03) 6777 5201
MCH ED – Phone: 0409 867 492  Fax: (03) 6441 5923
NWRH ED – Phone: 0459 848 725  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6101  Fax: (03) 6173 0489


Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.


We will endeavour to see these patients within 12 weeks


Next available appointment