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52330 - Oro-Nasal Fistula Closure

MBS service description:

Palatal defect (oro-nasal fistula), plastic closure of, including services to which item 52300, 52303, 52306 or 52324 applies (H) (Anaes.) (Assist.)
Schedule Fee:
890.75
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52330 (Oro-Nasal Fistula Closure) typically used?

The need for plastic closure of a palatal defect (oro-nasal fistula) arises when a patient has an abnormal opening between the oral and nasal cavities—often from cleft palate, trauma, or surgery—requiring surgical repair under anesthesia with assistance in a hospital to close the fistula, restore separation, and improve function. This is indicated for defects linked to other palate surgeries, critical where the fistula impairs speech, eating, or breathing.

Specific scenarios include:

  • Cleft palate: A residual fistula might leak food into the nose, needing closure.
  • Trauma: A palatal injury could create a fistula, requiring repair.
  • Post-surgical: A gap after tumour removal might need plastic closure.
  • Functional loss: Speech or swallowing issues prompt surgery.

For instance, a patient with a cleft fistula might need this to stop nasal regurgitation, with assistance for precision. In aged care, an elderly patient could benefit from this for speech, given their frailty. By closing the fistula, this service restores function, prevents complications, and enhances quality of life, making it vital for palatal defects in the maxillofacial area.

Benefits to the patient

Surgeons closing a palatal defect (oro-nasal fistula) in the patient with plastic surgery under anesthesia with assistance deliver corrective benefits. A key advantage is closing the fistula. This procedure seals the patient’s abnormal opening, preventing leakage—vital for 'oro-nasal fistula repair benefits.' It also restores oral-nasal separation, improving the patient’s speech and eating abilities. Furthermore, it improves function by reconstructing the palate, enhancing the patient’s quality of life. For surgeons exploring 'palatal defect closure advantages,' this assisted service ensures patients benefit from fistula closure, separation restoration, and functional enhancement, offering an effective fix for palatal defects.

Recovery considerations

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

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