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52072 - Salivary Gland Duct Dilatation or Diathermy

MBS service description:

SALIVARY GLAND, DILATATION OR DIATHERMY of duct (Anaes.)
Schedule Fee:
67
@85% Benefit Fee:
56.95
@75% Benefit Fee:
56.95
Last updated on
March 29, 2025

When is item code 52072 (Salivary Gland Duct Dilatation or Diathermy) typically used?

The need for dilatation or diathermy of a salivary gland duct arises when a patient experiences obstruction or narrowing of the duct—often from stones, strictures, or inflammation—causing saliva backup, pain, or swelling, requiring intervention under anesthesia to restore flow. This procedure targets ducts of glands like the submandibular or parotid, where blockages disrupt saliva production critical for digestion and oral health. It is indicated as a less invasive option to relieve symptoms and avoid gland removal, essential in the maxillofacial region where saliva flow affects comfort and infection risk.

Specific indications include:

  • Salivary stones: A small stone partially blocking the duct might cause intermittent swelling, needing dilatation to widen the passage.
  • Strictures: Scar tissue narrowing the duct from prior infections can reduce flow, requiring diathermy to cauterize and open it.
  • Chronic inflammation: Sialadenitis causing duct constriction might need this to alleviate pain and prevent abscesses.
  • Preventive care: Early intervention stops progression to severe gland damage, preserving function.

For instance, a patient with recurrent submandibular swelling from a duct stricture might need dilatation to resume normal saliva flow, avoiding surgery. In aged care, an elderly patient with a blocked duct from dehydration could benefit from this to prevent infection, given their frailty. By opening or cauterizing the duct, this service relieves obstruction, reduces symptoms, and maintains gland health, making it a key approach for managing salivary duct issues in the maxillofacial area.

Benefits to the patient

Surgeons dilating or using diathermy on the patient’s salivary gland duct under anesthesia offer practical benefits for salivary flow issues. A key advantage is the restoration of saliva flow. This procedure clears the patient’s blocked duct, improving glandular function—crucial for 'salivary duct treatment benefits.' It also relieves pain by alleviating pressure or inflammation, enhancing the patient’s comfort. Additionally, it prevents gland damage by addressing obstructions early, protecting the patient’s salivary health. For surgeons researching 'salivary duct dilatation advantages,' this service ensures patients experience improved flow, pain relief, and gland preservation, providing a straightforward solution for ductal problems.

Recovery considerations

Recovery of a few days with mild soreness; minimal downtime expected.

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