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52030 - Superficial Sinus Excision

MBS service description:

SINUS, excision of, involving superficial tissue only (Anaes.)
Schedule Fee:
102.55
@85% Benefit Fee:
87.2
@75% Benefit Fee:
87.2
Last updated on
March 29, 2025

When is item code 52030 (Superficial Sinus Excision) typically used?

The need for excision of a superficial sinus in the oral and maxillofacial region arises when a patient develops a chronic draining tract in the skin or mucosa, typically from infection, trauma, or a foreign body, requiring surgical removal to resolve symptoms and prevent recurrence. These superficial sinuses—limited to the outer layers—often persist despite antibiotics, leaking pus or fluid and causing discomfort or cosmetic issues. Performed under anesthesia, this procedure removes the tract entirely, addressing a localized issue that impacts quality of life in visible or functional areas.

Common triggers include:

  • Infections: A pilonidal-like sinus on the chin from an infected hair follicle might drain chronically, needing excision to heal.
  • Trauma residuals: A superficial sinus from a healed laceration with trapped debris can persist, causing irritation or swelling.
  • Dental origins: A sinus from a minor gum infection might form on the face, requiring removal if it doesn’t resolve with dental care.
  • Cosmetic impact: Visible draining tracts on the face or neck prompt excision to restore appearance and confidence.

For example, a teenager with a recurring sinus on the cheek from acne might need this to stop drainage and scarring, improving social well-being. In aged care, a patient with a superficial sinus from a pressure sore could require this to prevent infection in fragile skin. By excising the tract, this procedure eliminates the source of chronic irritation, reduces infection risk, and promotes full healing, making it a definitive solution for superficial sinus issues in the maxillofacial area.

Benefits to the patient

Surgeons excising a superficial sinus under anesthesia provide their patients with targeted benefits that enhance recovery and comfort. A primary advantage is stopping drainage. By removing the sinus tract, surgeons eliminate persistent discharge that can irritate the patient’s skin or mucous membrane, a key concern for 'sinus drainage treatment benefits.' It also prevents recurrence by fully excising the superficial lesion, reducing the likelihood of the patient experiencing repeated issues in the same area. Additionally, it improves the patient’s appearance or comfort by resolving unsightly or bothersome tracts, particularly in visible facial regions. For surgeons researching 'superficial sinus excision advantages,' this procedure ensures patients benefit from halted drainage, lower recurrence rates, and enhanced aesthetics or comfort, offering a straightforward, effective solution for superficial sinus conditions.

Recovery considerations

Recovery of 1-2 weeks with mild swelling; sutures removed in 5-7 days.

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