For ENT colleagues, neurologists, primary care offices, and other referring clinicians: a streamlined intake for complex sinus, skull base, and rhinology cases needing a tertiary-level evaluation. Same-week consultation when the clinical picture warrants it.
Complex, recurrent, or technically demanding sinus and skull base disease — particularly cases that benefit from endoscopic, image-guided, and AR-augmented technique at Mount Sinai. The list below is illustrative, not exhaustive — when in doubt, call.
Patients who have failed appropriate medical therapy, prior FESS, or both. Includes evaluation for biologic therapy in eosinophilic disease.
Inverted papilloma, esthesioneuroblastoma, sinonasal SCC, mucosal melanoma, orbital lesions requiring endoscopic or transorbital approach.
Pituitary adenomas, meningiomas, craniopharyngiomas, clival lesions — endoscopic endonasal resection in collaboration with neurosurgery.
Spontaneous, traumatic, and iatrogenic CSF leaks. Multilayered endoscopic repair with high closure success rate.
Cases referred after prior surgery — failed repair, residual disease, scarring, neuralgia, or unexplained postoperative symptoms.
Patients with persistent loss of smell or taste — clinical workup paired with active research on olfactory neuroplasticity.
Whichever pathway you choose, expect acknowledgment within one business day and a triage decision (same-week vs. routine) shortly after.
For urgent or time-sensitive cases — call the practice and ask to speak with the referring physician coordinator.
Send referral letter + relevant imaging via secure messaging. Best for non-urgent cases with imaging to review ahead of consultation.
Email — needs input
For physicians within the Mount Sinai network or with EpicCare Link access — order a consult and route to Dr. Iloreta directly.
EpicCare instructions — needs input
Brief clinical summary, prior imaging (CT/MRI), prior operative reports if any, current medications, and the specific question you'd like answered. The more context up front, the better the consultation.
Acknowledgment within one business day. Same-week consultation for urgent cases (impending vision/neurologic compromise, active CSF leak, post-op complication). Routine consultations within 2–3 weeks — confirm.