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52336 - Cleft Palate Fistula Closure

MBS service description:

Cleft palate, secondary repair, closure of fistula using local flaps (H) (Anaes.) (Assist.)
Schedule Fee:
556.85
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52336 (Cleft Palate Fistula Closure) typically used?

The need for secondary repair of a cleft palate with fistula closure using local flaps arises when a patient has a persistent opening after primary repair—often from healing issues or growth—requiring surgical closure under anesthesia with assistance in a hospital using nearby tissue flaps to seal the gap and restore function. This is indicated for residual defects, critical where the fistula affects speech or eating in the maxillofacial region.

Specific scenarios include:

  • Residual fistula: A gap post-primary repair might leak, needing closure.
  • Growth changes: Palate expansion could reopen a fistula, requiring flaps.
  • Speech issues: Nasal speech from a fistula prompts repair.
  • Nutrition: Food entering the nose needs correction.

For instance, a child with a fistula post-cleft repair might need this to fix speech, with assistance for flap precision. In aged care, an elderly patient could benefit from this for eating, given frailty. By closing the fistula with flaps, this service restores function, prevents issues, and enhances quality of life, making it essential for secondary cleft palate repairs.

Benefits to the patient

Surgeons performing a secondary repair of the patient’s cleft palate fistula with local flaps under anesthesia with assistance offer corrective benefits. A key advantage is sealing the fistula. This procedure closes the patient’s residual opening, preventing leakage—crucial for 'cleft fistula repair benefits.' It also improves speech and eating by restoring palatal integrity, enhancing the patient’s abilities. Furthermore, it prevents complications like infections, protecting the patient’s oral health. For surgeons exploring 'secondary cleft repair advantages,' this assisted service ensures patients benefit from fistula closure, functional enhancement, and health protection, providing an effective solution for residual cleft issues.

Recovery considerations

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

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