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52450 - Cleft Lip Partial Revision

MBS service description:

Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (H) (Anaes.)
Schedule Fee:
342.65
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52450 (Cleft Lip Partial Revision) typically used?

The need for partial revision of a cleft lip, including minor flap revision, alignment, and adjustment, arises when a patient with a previously repaired cleft lip—unilateral or bilateral—requires surgical refinement under anesthesia in a hospital to correct residual imperfections like asymmetry, scarring, or a minor whistle deformity (a small gap causing a whistling sound during speech). This procedure is indicated for secondary adjustments post-primary repair, critical in the maxillofacial region where lip aesthetics and function impact confidence and communication.

Key conditions driving this need include:

  • Asymmetry: Uneven lip healing after initial repair might need minor flap adjustment for symmetry.
  • Scarring: Thick or raised scars could require revision to soften appearance.
  • Whistle deformity: A small lip gap causing speech issues or drooling prompts adjustment.
  • Functional tweak: Minor lip tension affecting closure might need refinement.

For example, a teenager with a slightly uneven cleft lip repair might need this to improve appearance before high school, with minor flap work for alignment. In an aged care setting, an elderly patient with a whistle deformity from an old repair could seek this for speech clarity, adjusted for frailty. By refining the lip, this service enhances aesthetics, corrects minor functional issues, and boosts quality of life, making it a valuable secondary step in cleft lip management within the maxillofacial framework.

Benefits to the patient

Surgeons performing a partial revision of the patient’s cleft lip, including minor flap adjustments, under anesthesia provide refining benefits. A key advantage is refining lip appearance. This procedure adjusts the patient’s lip, improving aesthetics—essential for 'cleft lip revision benefits.' It also corrects minor function by tweaking alignment, aiding the patient’s speech or feeding. Furthermore, it boosts confidence by addressing whistle deformities, enhancing the patient’s quality of life. For surgeons exploring 'partial cleft revision advantages,' this service ensures patients experience aesthetic refinement, minor functional correction, and confidence improvement, offering a targeted fix for residual lip issues.

Recovery considerations

Recovery of 1-2 weeks with swelling and suture care; minimal hospital stay.

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