ENT Follow-up Guidelines

The guidelines below have been agreed across the Welsh Health Boards to try to improve follow-up waiting times. Please check with your Consultant when starting a new rotation if they wish for you to follow these guidelines.


Ears

Mastoids 

The follow-up period for post-op mastoids is 3 years. Some mastoid cavities don’t require any care and could then be discharged. Others will need dewaxing at intervals and these would need follow-up in a Nurse Practitioner clinic.


Myringoplasty

1st follow-up to remove the pack. 2nd follow-up at 3 months for post-op audiogram and then discharge.


Grommets

One post-op follow-up at 6 weeks for audiogram and then discharge. Inform patient and GP to check grommets have extruded via GP Otoscopy and refer back for removal of grommets if still  in situ after 3 years.


Otitis Externa

Should be managed by Nurse Practitioner after the 1st visit.


MRI IAMS

Normal MRI IAMs don’t need a follow-up appointment. Patient and GP should be informed of the result via letter.


Nose

Post-op Surgery

One post-op appointment then discharge if well (e.g. Septoplasty / Nasal Polypectomy / FESS).


Nasal Cautery

Discharge after 1st visit


Throat

Benign Throat Symptoms 

No Red Flag with normal examination. Treat accordingly and discharge (e.g. Globus).


Patients requiring Speech Therapy 

Can be discharged unless follow-up requested by Speech Therapy.


Clinically benign neck lumps 

With no significance can be discharged. If USS is clear, a letter can be done and so,  no need for a clinic follow-up.


CAVEAT

Of Course, there would be 'grey’ areas and common sense should prevail!