For Referring Health Care Providers
Dr. Stepniak accepts referrals and clinical questions as per below
Due to high volumes, Dr Stepniak is accepting only URGENT referrals at this time.
Pediatrics
- Recurrent acute otitis media resulting in complications as tympanic membrane perforation
- Chronic otitis media with effusion (greater than 8-12 weeks) with associated speech delay or behavioural problems, or, if child has other disabilities. Audiogram in community is recommended
- Suspected severe sleep apnea (please have parents record short video of snoring/sleeping
- Recurrent strep tonsillitis (7 infections in one year, 5 infections in one year for two years, 3 infections in one year for three years)
- Head and neck masses
Rhinology
- Epistaxis despite trial of conservative management (humidifier use, Vaseline BID)
- Suspected malignancy
- Severe chronic rhinosinusitis despite medical therapy (8-12 weeks of intranasal steroid use). CT Sinus required
- Nasal fracture (referral must be within 2 weeks of injury and cosmetic deformity present or concern for CSF leak)
Otology
- Sudden sensorineural hearing loss (please have patient complete emergent audiogram in community and attach with referral)
- Surgical otologic conditions (cholesteatoma, mastoiditis/mastoid cavities, tympanic membrane perforation with recurrent infections, otosclerosis). Community audiogram recommended
- Non resolving infection despite appropriate medical management
General
- Suspected head and neck cancer
- Thyroid nodules meeting TIRADS criteria for biopsy
- New hoarseness that is NOT intermittent and present for >4 weeks
- Skin cancers of the head and neck
Ontario e-consult
Dr. Stepniak is available on eConsult for clinical questions
