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52066 - Submandibular Gland Removal

MBS service description:

Submandibular gland, extirpation of (H) (Anaes.) (Assist.)
Schedule Fee:
507.45
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52066 (Submandibular Gland Removal) typically used?

The need for extirpation (complete removal) of the submandibular gland arises when this salivary gland, located beneath the mandible, develops severe pathology—such as chronic infections, stones, or tumors—that cannot be managed with less invasive treatments, requiring surgical excision under anesthesia with assistance in a hospital. This procedure is indicated when the gland’s dysfunction or disease causes persistent pain, swelling, or risk of malignancy, impacting oral health or quality of life. It is critical in the maxillofacial region where the gland’s proximity to nerves and vessels demands precision to avoid complications.

Specific conditions include:

  • Chronic sialadenitis: Repeated infections causing gland scarring and pain might need removal to stop cycles of swelling.
  • Salivary stones: Large or recurrent stones blocking the duct can lead to gland damage, requiring excision for relief.
  • Tumours: A mass in the gland might be benign or malignant, needing removal for diagnosis and to prevent spread.
  • Obstructive symptoms: Gland dysfunction causing dry mouth or eating difficulties prompts surgery to resolve issues.

For instance, a patient with chronic submandibular swelling from stones might need this to end pain and infection, with assistance ensuring nerve safety. In aged care, an elderly patient with a suspected gland tumour could require this to rule out cancer, given their vulnerability. By removing the gland entirely, this service eliminates pathology, prevents recurrence, and restores comfort, making it essential for severe submandibular issues in the maxillofacial area.

Benefits to the patient

Surgeons performing extirpation of the patient’s submandibular gland under anesthesia with assistance provide significant benefits for glandular issues. A key advantage is the elimination of gland disease. This removal resolves the patient’s conditions like tumors or chronic infections, halting symptoms—vital for 'submandibular gland removal benefits.' It also relieves pain by excising the affected gland, improving the patient’s comfort. Additionally, it prevents further complications by stopping disease progression, protecting the patient’s oral health. For surgeons researching 'gland extirpation advantages,' this assisted procedure ensures patients experience disease resolution, pain relief, and complication prevention, offering a definitive solution for submandibular issues.

Recovery considerations

Recovery of 2-4 weeks with swelling and possible nerve sensitivity; hospital stay likely.

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