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52315 - Full Thickness Free Grafting

MBS service description:

FREE GRAFTING, FULL THICKNESS, to 1 defect (mucosa or skin) (Anaes.) (Assist.)
Schedule Fee:
539.75
@85% Benefit Fee:
458.8
@75% Benefit Fee:
458.8
Last updated on
March 29, 2025

When is item code 52315 (Full Thickness Free Grafting) typically used?

The need for full thickness free grafting to one defect arises when a patient has a deep or complex tissue loss in the oral and maxillofacial region—often from tumour excision, trauma, or burns—requiring a thick graft of skin or mucosa under anesthesia with assistance to fully reconstruct the area, restore function, and ensure durability. This procedure uses the entire tissue layer, indicated for defects needing robust coverage, critical in the maxillofacial area where strength and aesthetics are vital.

Specific scenarios include:

  • Tumour removal: A deep cheek defect might need full thickness skin for strength.
  • Trauma: A lip tear could require mucosal grafting for sealing.
  • Burns: Full thickness loss on the face needs thick skin for durability.
  • Functional need: Grafting restores oral or facial integrity.

For instance, a patient with a facial defect post-cancer might need a full thickness graft for lasting repair, with assistance for precision. In aged care, an elderly patient with a lip defect could benefit from this for function, given their frailty. By using full thickness tissue, this service rebuilds defects, enhances durability, and preserves function, making it essential for complex maxillofacial reconstruction.

Benefits to the patient

Surgeons performing full-thickness free grafting to a single defect in the patient with mucosa or skin under anesthesia with assistance provide durable benefits. A key advantage is providing durable repair. This thick graft ensures the patient’s defect is covered robustly, promoting lasting healing—vital for 'full-thickness graft benefits.' It also restores function by reconstructing with strong tissue, maintaining the patient’s capabilities. Furthermore, it improves aesthetics by offering a natural appearance, enhancing the patient’s facial or oral look. For surgeons exploring 'full-thickness grafting advantages,' this assisted service ensures patients experience sturdy restoration, functional preservation, and aesthetic improvement, making it an optimal choice for significant defects.

Recovery considerations

Recovery of 3-4 weeks with swelling and graft care; donor site healing extends time.

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