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Country ENT – a new way of performing outreach ENT care to regional and rural Australia.

Melbourne ENT Group – Regional and Rural – Having both spent a number of early medical training years in rural settings, ENT Surgeons Dr Paul Paddle and Dr Ryan De Freitas welcomed the opportunity to commence ENT outreach visits to Swan Hill in 2014.

In that time, our small outreach service has expanded from a monthly visit to Swan Hill, to regular visits to both Mildura and Swan Hill in person, for both consulting and surgery, and we have been joined by a number of additional ENT surgeons along the way.

During these early years, we have used the team at our sister Melbourne-based Practice – the Melbourne ENT Group – to support this growing service.

Visiting ENT surgeons, with a permanent country heart.

We have always been pro-actively engaged with the local community and health services such as the Rural Workforce Association of Victoria. With regular education sessions, protocol development, new technology & equipment and other enhancements – we have been bringing the same level of quality care to every service location, regardless of distance.

We have actively engaged with the Mallee district aboriginal service, and worked to ensure an optimum level of care for our Aboriginal and Torres Strait islander patients.

As our outreach service grew however, we knew that in order to provide a more complete continuity of care for our patients our ultimate goal was to have a full-time country presence – hence the birth of Country ENT

Our Services

We are a full-service ENT practice providing consultation, minor office procedures, and surgery, and through our partners in Country Hearing Care – a complete, audiological service as well.

Booking & Referrals
Booking & Referrals

Meet the Team

Dr Paul Paddle

Dr Paul Paddle

Qualifications: MBBS(hons), FRACS, MPH, PGrad Dip Anat
Sub-Specialty Interests: Professional Voice, Airway & Swallowing, Paediatric and Adult snoring and sleep disorders

Paul Paddle is an ENT surgeon , head and neck surgeon with fellowship training in Laryngology – Voice, airway and Swallowing disorders.

He completed his Bachelor of Medicine and surgery with honours at Melbourne University in 2003, receiving the award for top surgical candidate in his class.

In 2013 he gained fellowship to the Royal Australasian College of Surgeons by completing his advanced training in Otolaryngology, head and neck surgery.

He recently completed a 1 year fellowship in Laryngology at Harvard University in Boston. He gained expertise in all aspects of laryngology including the care of voice, airway and swallowing disorders, operative and office-based treatments, and the use of established and innovative diagnostic and surgical techniques.

Additionally, Paul has interest and expertise in general adult and paediatric ENT conditions, minimally invasive nose and sinus surgery, snoring and sleep surgery.

Working at Monash Health and Monash Children’s hospital, Paul has extensive experience managing a wide range of paediatric ENT conditions, from neonates to adolescents. He is also an active researcher in paediatric obstructive sleep apnoea and sleep disorders.

Paul also has a keen interest in public health and research, knowing the impact this can have on the care of his individual patients and the health of the greater community. He has completed a Masters of Public Health at Melbourne University in 2010, and a post-graduate diploma of Anatomy in 2006. He is currently a principle investigator in a number of clinical trials in the fields of ENT, and holds a number of research grants currently. He has authored a number of scientific papers, and authored a number of book chapters.

Paul is also a founder and CMO of a health-tech startup company: Nebula Health, which uses technology to better engage and educate patients, and improve the care experience and decrease complications. This team won a place in the prestigious Melbourne Accelerator Programme for 2016. Nebula Health continues to grow and expand into other aspects of health-tech care.

Paul has appointments as an ENT surgeon at Monash Health, Alfred Health, Epworth Richmond, Waverley Private, Linacre Private and Swan Hill District Hospitals. He also consults as a Voice, Airway and Swallowing Specialist at the Melbourne Voice analysis Centre,, and Melbourne Swallow Analysis Centre, Paul holds senior lecturer positions at both Monash University and LaTrobe University, and is the Supervisor of ENT training at Monash Health.

Paul is a keen musician, having an Associate Diploma of Music (AmusA) in both Piano and Viola. He is a devoted husband and doting father of three young children.

Dr Ryan De Freitas

Dr De Freitas

Specialty: ENT Head and Neck Surgeon
Qualifications: MBBS (Hons), BMedSci, MRCS, DOHNS, FRACS

Ryan is an ENT Surgeon with fellowship training in Head and Neck, and Thyroid Surgery. In addition to this, Ryan has expertise in minimally invasive nose and sinus surgery, and the management of sleep apnoea in adults and children.

Ryan was raised in Hobart, studying Medicine at the University of Tasmania, and completed his ENT registrar training in Melbourne including six months at the Royal Children’s Hospital. He gained Fellowship to the Royal Australian College of Surgeons in 2013.

He also undertook two overseas head and neck fellowships. The first in Ireland at Beaumont Hospital Dublin, a large teaching hospital and the National Centre for Cochlear Implantation in Ireland. This fellowship included the role ofClinical Lecturer in ENT at the Royal College of Surgeons Ireland teaching medical students and GPregistrars.

Ryan completed a second fellowship in Head and Neck Surgery at St George’s University Hospital London. This included a high volume of benign and malignant thyroid tumours, and minimal access thyroidectomy in selected cases.

Ryan also undertook a clinical attachment at the Massachusetts Eye and Ear Hospital under Associate Professor Greg Randolph, internationally respected thyroid surgeon and president of the American Academy of Otolaryngology.

Ryan places great importance on effective communication with his patients. He is committed to best patient care and attends the multidisciplinary head and neck and thyroid meetings at Monash, Austin and Epworth Hospitals. He is active in continuing professional development, has published numerousscientific papers in the field of ENT and is involved with clinical trials and research at Monash Health. He has a passion for the training and mentoring of junior doctors and is the ENT supervisor for Medical Students at Monash.

Ryan has public appointments at Monash, Austin and Swan Hill Hospitals. He consults and operates privately at Epworth Richmond, Waverley and Linacre Private Hospital.

In addition to his expertise in Head, Neck and Thyroid Surgery, Ryan welcomes referrals for all adult and paediatric ENT conditions.

When not at work, Ryan loves spending time with his two young children, hiking and playing guitar.

Dr Lucy Matthews

Dr Lucy Matthews

Qualifications: BA/BSc (hons – genetics), MMBS, PGrad Dip Anat, FRACS
Sub-Specialty Interests: Voice, Airway & Swallowing, Allergy, Nasal obstruction and Sinus disease, Paediatric and Adult Snoring and Sleep disorders

Lucy completed her Bachelor of Medicine/Bachelor of Surgery at the University of Melbourne in 2007, after completing a Bachelor of Arts/Bachelor of Science with Honours (Genetics) in 2001. She completed residency at the Austin, Royal Melbourne and St Vincent’s Hospitals in Melbourne, and during this time also completed a Postgraduate Diploma in Surgical Anatomy at the University of Melbourne.
In 2014, she commenced advanced training in Otolaryngology, Head & Neck Surgery. She is a Fellow of the Royal Australasian College of Surgeons (FRACS) and a member of the Australian Society of Otolaryngology, Head & Neck Surgery (ASOHNS).

Lucy practices in general adult and paediatric ENT surgery, having undertaken advanced training at leading tertiary referral hospitals in Melbourne and Brisbane. Lucy trained in paediatric ENT at the Royal Children’s Hospital, Brisbane and gained experience in head and neck trauma at The Alfred Hospital, Melbourne.
Lucy has a special interest in voice and conditions of the larynx, thyroid and parathyroid disorders, salivary gland disease, nasal obstruction and sinus conditions, snoring and obstructive sleep apnoea in children and adults.

Lucy holds a Consultant appointment at Barwon Health, contributing effectively within a large tertiary surgical unit, maintaining strong academic ties as well as actively undertaking teaching of advanced ENT surgical trainees. She maintains currency of knowledge and is passionate about employing new and innovative techniques through regular attendance at national and international conferences.

Lucy takes an individualised approach to each patient. She recognises the importance of communication and takes pride in providing patients with a satisfying experience. With her own young family, Lucy understands the challenges of parenthood and relates well to parents with young children.
Lucy enjoys all aspects of ENT surgery and is keen to assist both General Practitioners and other Specialists with their patients.

Lucy enjoys the theatre, snow skiing, food and travel, and is an energetic mother of two young children.

Dr Diaa Samuel

Dr Diaa Samuel

Sub-Specialty Interests: Otolaryngology- Head and Neck Surgery

Dr Diaa Samuel obtained his undergraduate medical degree from the University of Edinburgh and completed ENT surgical training at Guy’s, St Thomas’, Kings College and Great Ormond Street Children’s Hospitals in London, UK.

He has worked in several teaching hospitals in the UK and relocated to Australia 15 years ago. He obtained the fellowship of the Royal Australasian College of surgeons in 2006 and has worked as an ENT Specialist in Australia since.

Dr Samuel has now joined Country ENT, visiting Broken Hill and Mildura/ Swan Hill and undertakes all aspects of adult and children’s ENT and has a particular interest in:

  • Paediatric ENT surgery
  • Nasal surgery, endoscopic sinus surgery and snoring surgery
  • Ear surgery including excision of exostoses and mastoid surgery
  • Facial skin cancer surgery
  • Benign and malignant head and neck surgery
  • Salivary gland surgery
  • Laryngeal surgery
  • Pharyngeal surgery including tonsillectomy

Elaine Campbell

Administrative Assistant

Elaine Campbell is our very capable Administrative Assistant, based mainly in our Swan Hill location. She has worked for many years in primary healthcare, and has an excellent knowledge of the needs of both referrers and patients.

Country Hearing Care Team

By collaborating closely with the team at Country Hearing care, we are able to maximise the efficiency of your visits and access to timely and expert hearing and balance assessment, hearing aid care and balance rehabilitation.

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