Direct to an appropriate emergency department for:

  • Hoarse voice associated with difficulty in breathing or stridor
  • Hoarse voice associated with acute neck or laryngeal trauma.

Criteria for referral to public hospital specialist clinic services

  • Persistent hoarseness, or change in voice quality, which fails to resolve in four weeks
  • Recurrent episodes of hoarseness, or altered voice, in patients with no other risk factors for malignancy.

Information to be included in the referral

Information that must be provided

  • Duration of symptoms.

Provide if available

  • If patient is a professional voice user
  • Any of the following:
    • History of smoking
    • Excessive alcohol intake
    • Recent intubation
    • Recent cardiac or thyroid surgery.

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.