3 minutes
min read

52073 - Salivary Gland Fistula Repair

MBS service description:

SALIVARY GLAND, repair of CUTANEOUS FISTULA OF (Anaes.)
Schedule Fee:
170.6
@85% Benefit Fee:
145.05
@75% Benefit Fee:
145.05
Last updated on
March 29, 2025

When is item code 52073 (Salivary Gland Fistula Repair) typically used?

The need for repair of a cutaneous fistula of a salivary gland arises when an abnormal tract forms between the gland (e.g., parotid or submandibular) and the skin surface, leaking saliva externally and causing irritation, infection, or cosmetic distress, requiring surgical closure under anesthesia. This condition often results from trauma, surgery, or chronic gland infections that erode through to the skin, necessitating repair to stop drainage and restore normal salivary function. It is critical in the maxillofacial region where persistent fistulas can lead to chronic wounds or social embarrassment.

Reasons include:

  • Post-surgical fistula: A parotid surgery complication might create a fistula leaking saliva onto the cheek, needing closure.
  • Trauma: A facial injury piercing the gland can form a tract, requiring repair to stop external flow.
  • Chronic infection: Sialadenitis eroding to the skin might cause a fistula, needing surgery to heal and prevent abscesses.
  • Cosmetic impact: Visible saliva leakage on the face or neck prompts repair for appearance and comfort.

For example, a patient with a parotid fistula after tumour removal might need this to stop saliva dribbling down their face, improving quality of life. In aged care, an elderly patient with a fistula from a chronic infection could require this to avoid skin breakdown, given their fragility. By closing the tract, this service halts leakage, prevents complications, and restores gland integrity, making it essential for managing salivary fistulas in the maxillofacial area.

Benefits to the patient

Surgeons repairing a cutaneous fistula of the patient’s salivary gland under anesthesia provide corrective benefits for leakage issues. A primary advantage is stopping saliva leakage. This closure prevents the patient’s saliva from escaping externally, resolving irritation—vital for 'salivary fistula repair benefits.' It also prevents infection by sealing the fistula, protecting the patient’s skin and tissues from bacterial entry. Furthermore, it improves appearance by eliminating unsightly drainage, enhancing the patient’s facial aesthetics. For surgeons exploring 'cutaneous fistula repair advantages,' this procedure ensures patients benefit from leakage cessation, infection prevention, and aesthetic improvement, offering a precise fix for salivary fistulas.

Recovery considerations

Recovery of 1-2 weeks with swelling and suture care; minimal scarring expected.

Email this page to yourself for later, and
You should receive the article link in your inbox shortly.
Oops! Something went wrong while submitting the form.
For Surgeons

Explore the full Medicare Benefits Schedule (MBS) Services and Item Codes

Not sure about what MBS Item Code you are looking for? Browse the full Schedule by treatment category.
View the full MBS Schedule
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.