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52306 - Local Flap Repair (Temporalis Muscle)

MBS service description:

Single-stage local flap, if indicated, repair to one defect, using temporalis muscle (H) (Anaes.) (Assist.)
Schedule Fee:
686.4
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52306 (Local Flap Repair (Temporalis Muscle)) typically used?

The need for a single-stage local flap repair using the temporalis muscle arises when a patient has a significant defect in the oral and maxillofacial region—often from tumour resection or trauma—requiring robust reconstruction under anesthesia with assistance in a hospital using the temporalis muscle to fill or cover the gap, restoring structure and function. This procedure is indicated for larger or deeper defects where the muscle’s strength and proximity are advantageous, critical in the maxillofacial area where durability supports jaw or facial repair.

Reasons include:

  • Tumour resection: A maxillary defect post-cancer might need temporalis muscle to rebuild.
  • Trauma: A shattered orbit could use the muscle for support and coverage.
  • Structural loss: Muscle fills deep gaps to stabilize bone or soft tissue.
  • Functional repair: Restores chewing or facial movement post-defect.

For example, a patient with a maxillary defect after sarcoma removal might need this to support the palate, with assistance for precision. In aged care, an elderly patient with a facial defect could benefit from this for strength, given their frailty. By using the temporalis muscle, this service repairs defects, enhances stability, and preserves function, making it a key reconstructive approach in the maxillofacial region.

Benefits to the patient

Surgeons repairing a single defect in the patient with a local flap using temporalis muscle under anesthesia with assistance provide durable benefits. A primary advantage is robust rebuilding. This procedure leverages the patient’s muscle for strong reconstruction, ensuring stability—vital for 'temporalis flap benefits.' It also supports function by restoring the defect with resilient tissue, maintaining the patient’s facial or oral capabilities. Furthermore, it restores structure by filling the site effectively, enhancing the patient’s recovery. For surgeons researching 'muscle flap repair advantages,' this assisted service ensures patients benefit from sturdy reconstruction, functional preservation, and structural restoration, making it an ideal choice for significant defects.

Recovery considerations

Recovery of 3-4 weeks with swelling and jaw care; hospital stay likely.

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