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52337 - Unilateral Alveolar Cleft Grafting

MBS service description:

Alveolar cleft (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation (H) (Anaes.) (Assist.)
Schedule Fee:
1217.95
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52337 (Unilateral Alveolar Cleft Grafting) typically used?

The need for grafting of a unilateral alveolar cleft arises when a patient with a congenital cleft palate has a gap in the alveolar ridge—often with an oro-nasal fistula—requiring bone grafting and plastic closure under anesthesia with assistance in a hospital to rebuild the ridge, close the fistula, and support teeth or function. This is indicated for cleft-related defects, critical in the maxillofacial region where the alveolus affects dental alignment and oral integrity.

Reasons include:

  • Cleft defect: A gap in the alveolus needs bone for tooth eruption.
  • Fistula: An oro-nasal opening requires closure to stop leakage.
  • Ridge augmentation: Builds bone for dental implants or stability.
  • Function: Supports chewing and speech development.

For example, a teenager with an alveolar cleft might need this for orthodontics, with assistance for precision. In rare aged care cases, an elderly patient could benefit for denture support, given frailty. By grafting and closing, this service restores structure, enhances function, and prevents complications, making it vital for cleft alveolus repair.

Benefits to the patient

Surgeons grafting a unilateral alveolar cleft in the patient, including fistula closure and ridge augmentation, under anesthesia with assistance deliver comprehensive benefits. A primary advantage is rebuilding the ridge. This graft restores the patient’s alveolar structure, supporting dental function—vital for 'alveolar cleft grafting benefits.' It also closes the fistula, preventing oro-nasal leakage and enhancing the patient’s speech or eating. Furthermore, it supports dental function by augmenting the ridge, preparing the patient for teeth or implants. For surgeons researching 'congenital cleft repair advantages,' this assisted service ensures patients experience ridge restoration, fistula closure, and functional support, offering a holistic approach to alveolar clefts.

Recovery considerations

Recovery of 4-6 weeks with swelling and bone healing; hospital stay required.

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