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52309 - Free Grafting of Granulating Area

MBS service description:

FREE GRAFTING (mucosa or split skin) of a granulating area (Anaes.)
Schedule Fee:
233.2
@85% Benefit Fee:
198.25
@75% Benefit Fee:
198.25
Last updated on
March 29, 2025

When is item code 52309 (Free Grafting of Granulating Area) typically used?

The need for free grafting of mucosa or split skin to a granulating area arises when a patient has an open, healing wound in the oral and maxillofacial region—often from trauma, surgery, or burns—requiring a graft under anesthesia to cover the granulating tissue, promote closure, and prevent infection or scarring. This procedure is indicated for wounds that won’t heal naturally, critical in the maxillofacial area where exposed areas affect function or aesthetics.

Specific scenarios include:

  • Surgical wounds: A granulating area post-tumour excision might need mucosa to heal.
  • Trauma: A facial burn leaving raw tissue could require split skin for coverage.
  • Infection risk: Open wounds in the mouth need grafting to prevent abscesses.
  • Functional loss: Exposed areas impairing speech or eating prompt grafting.

For instance, a patient with a cheek wound post-abscess drainage might need a mucosal graft to close it, done in a clinic. In aged care, an elderly patient with a facial granulation from a fall could benefit from this to avoid infection, given their frailty. By grafting tissue, this service speeds healing, restores function, and enhances appearance, making it a vital solution for maxillofacial granulating wounds.

Benefits to the patient

Surgeons performing free grafting with mucosa or split skin on the patient’s granulating area under anesthesia offer healing benefits. A key advantage is promoting healing. This graft covers the patient’s raw tissue, accelerating recovery—essential for 'free grafting benefits.' It also prevents infection by shielding the area, reducing the patient’s risk of complications. Furthermore, it restores tissue cover by providing a new layer, enhancing the patient’s comfort and health. For surgeons exploring 'granulation grafting advantages,' this service ensures patients experience faster healing, infection prevention, and tissue restoration, providing a straightforward solution for open wounds.

Recovery considerations

Recovery of 2-3 weeks with graft care and swelling; quick functional return.

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