Conclusion
Our study has stated a 2-fold advantage. Firstly, that will be an overall tremendous decrease in the number of patients that will still need to be referred to a clinic or OT (primary outcome), because apt services will be present in OPD after this change. The volume reduction in congruence with international ENT guidelines will cause a noticeable decrease in loss of time that resulted from running from here to there, and a greater level of satisfaction among patients though permitting juniors to seek advice for complex cases will be encouraged to avoid as many complications as possible. Secondly, financial sustainability will bring a greater chance for a poor population like us.