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52339 - Cleft Palate Lengthening Procedure

MBS service description:

Cleft palate, secondary repair, lengthening procedure (H) (Anaes.) (Assist.)
Schedule Fee:
634.1
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52339 (Cleft Palate Lengthening Procedure) typically used?

The need for a secondary repair of a cleft palate with a lengthening procedure arises when a patient with a prior cleft repair has a short palate causing speech issues (e.g., velopharyngeal insufficiency) or functional deficits, requiring surgical lengthening under anesthesia with assistance in a hospital to extend the palate and improve closure. This is indicated for residual issues post-primary repair, critical where palate length affects articulation and swallowing in the maxillofacial region.

Specific scenarios include:

  • Speech defects: Nasal speech from a short palate needs lengthening.
  • Post-growth: Palate inadequacy after childhood growth prompts repair.
  • Swallowing: Incomplete closure affects eating, needing extension.
  • Secondary fix: Enhances prior repair outcomes.

For instance, a young adult with nasal speech post-cleft repair might need this to improve clarity, with assistance for precision. In aged care, an elderly patient could benefit for swallowing, given frailty. By lengthening the palate, this service enhances function, prevents complications, and improves life quality, making it essential for secondary cleft palate corrections.

Benefits to the patient

Surgeons performing a secondary lengthening procedure on the patient’s cleft palate under anesthesia with assistance provide functional benefits. A key advantage is improving speech. This procedure extends the patient’s palate, enhancing clarity—essential for 'cleft palate lengthening benefits.' It also enhances swallowing by correcting palatal length, improving the patient’s eating ability. Furthermore, it corrects palate length, ensuring the patient’s oral function aligns naturally. For surgeons exploring 'secondary palate repair advantages,' this assisted service ensures patients benefit from speech improvement, swallowing enhancement, and length correction, making it a targeted fix for cleft-related functional issues.

Recovery considerations

Recovery of 3-4 weeks with swelling and speech therapy; hospital stay likely.

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