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52324 - Tongue Flap Repair (First Stage)

MBS service description:

Direct flap repair, using tongue, first stage (H) (Anaes.) (Assist.)
Schedule Fee:
539.75
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52324 (Tongue Flap Repair (First Stage)) typically used?

The need for direct flap repair using the tongue, first stage, arises when a patient has a significant defect in the oral and maxillofacial region—often from tumour excision or trauma—requiring reconstruction under anesthesia with assistance in a hospital by mobilizing tongue tissue as a flap in the initial step of a staged repair. This is indicated for defects needing robust tissue, critical where tongue proximity aids oral or facial reconstruction.

Specific scenarios include:

  • Oral defect: A floor of mouth gap post-cancer might use a tongue flap.
  • Trauma: A lip defect could leverage tongue tissue for repair.
  • Staged approach: First stage sets up later refinement.
  • Functional need: Restores speech or swallowing.

For instance, a patient with a mouth floor defect might need this as a first step, with assistance for precision. In aged care, an elderly patient could benefit from this for oral repair, given their frailty. By using the tongue, this service starts reconstruction, enhances healing, and prepares for completion, making it a key staged option in the maxillofacial area.

Benefits to the patient

Surgeons initiating a direct flap repair using the patient’s tongue under anesthesia with assistance provide foundational benefits. A key advantage is beginning robust repair. This first stage sets up the patient’s reconstruction with strong tissue—essential for 'tongue flap benefits.' It also supports function by leveraging tongue tissue, preparing the patient for restored capabilities. Furthermore, it sets up final reconstruction by establishing a base, enhancing the patient’s long-term outcome. For surgeons exploring 'first-stage flap advantages,' this assisted procedure ensures patients benefit from a solid repair start, functional preparation, and reconstruction readiness, offering a critical initial step in complex repairs.

Recovery considerations

Recovery of 2-3 weeks with swelling and tongue care; hospital stay needed.

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