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52075 - Salivary Gland Calculus Removal or Marsupialisation

MBS service description:

SALIVARY GLAND, removal of CALCULUS from duct or meatotomy or marsupialisation, 1 or more such procedures (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 52075 (Salivary Gland Calculus Removal or Marsupialisation) typically used?

The need for removal of a calculus (stone) from a salivary gland duct, meatotomy (duct incision), or marsupialisation arises when a patient experiences obstruction in the duct—typically of the submandibular or parotid gland—causing saliva backup, pain, swelling, or infection, requiring surgical intervention under anesthesia to restore flow and relieve symptoms. These procedures target stones or strictures that block saliva, often leading to recurrent issues if untreated, and are indicated when manual removal or conservative measures fail. They are critical in the maxillofacial region where salivary obstruction can disrupt oral health and comfort.

Specific scenarios include:

  • Calculus obstruction: A stone in the submandibular duct causing swelling during meals needs removal to restore flow.
  • Duct narrowing: A tight duct opening might trap saliva, requiring meatotomy to widen it and prevent stones.
  • Chronic blockage: Recurrent stones or scarring might need marsupialisation to create a permanent opening, avoiding gland damage.
  • Infection risk: Blocked ducts can lead to sialadenitis, needing intervention to prevent abscesses.

For instance, a patient with a painful submandibular stone noticed during eating might need calculus removal to stop swelling and infection. In aged care, an elderly patient with a blocked duct from dehydration could benefit from meatotomy to avoid complications, given their frailty. By removing stones or altering the duct, this service relieves obstruction, prevents recurrence, and maintains gland function, making it a vital solution for salivary duct issues in the maxillofacial area.

Benefits to the patient

Surgeons removing calculus from the patient’s salivary gland duct or performing meatotomy or marsupialization under anesthesia deliver effective benefits for blockages. A key advantage is restoring saliva flow. This procedure clears the patient’s obstruction, ensuring normal glandular function—essential for 'salivary calculus removal benefits.' It also relieves pain by eliminating the stone or blockage, improving the patient’s comfort. Additionally, it prevents infection or gland damage by addressing the issue promptly, safeguarding the patient’s oral health. For surgeons researching 'salivary duct procedure advantages,' this service ensures patients experience flow restoration, pain relief, and health protection, making it a versatile solution for ductal obstructions.

Recovery considerations

Recovery of 1-2 days with mild soreness; minimal impact on daily activities.

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