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52303 - Local Flap Repair (Buccal Fat)

MBS service description:

Single-stage local flap, if indicated, repair to one defect, with buccal pad of fat (H) (Anaes.) (Assist.)
Schedule Fee:
462.55
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52303 (Local Flap Repair (Buccal Fat)) typically used?

The need for a single-stage local flap repair using the buccal pad of fat arises when a patient has a moderate defect in the oral and maxillofacial region—often from surgery or trauma—requiring reconstruction under anesthesia with assistance in a hospital using the buccal fat pad to fill or cover the gap, restoring structure or function. This procedure is indicated when the defect suits the fat pad’s properties, critical in the maxillofacial area where depth or oral lining needs repair.

Specific scenarios include:

  • Oral defect: A hole after tumour excision in the cheek might need fat to seal it.
  • Trauma: A deep cheek injury could use the fat pad for volume and coverage.
  • Sinus communication: A small oro-antral fistula might be closed with this fat flap.
  • Functional support: Fat fills gaps to support chewing or speaking.

For instance, a patient with a buccal defect post-cyst removal might need this to prevent food leakage, with assistance for placement. In aged care, an elderly patient with a cheek defect could benefit from this to avoid complex grafts, given their frailty. By using the buccal fat pad, this service repairs defects, enhances healing, and preserves function, making it a specialized maxillofacial reconstructive option.

Benefits to the patient

Surgeons repairing a single defect in the patient with a local flap using buccal pad fat under anesthesia with assistance deliver specialized benefits. A key advantage is filling the defect. This procedure uses the patient’s fat to cover and support the site, aiding healing—crucial for 'buccal fat flap benefits.' It also restores oral integrity by reconstructing the area, ensuring the patient’s mucosal function is maintained. Furthermore, it supports function by providing robust tissue, enhancing the patient’s oral capabilities. For surgeons exploring 'fat flap repair advantages,' this assisted service ensures patients experience defect restoration, integrity preservation, and functional support, offering a unique approach to oral defect repair.

Recovery considerations

Recovery of 2-3 weeks with swelling and diet care; hospital stay possible.

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