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52458 - Cleft Lip Flap Reconstruction (Second Stage)

MBS service description:

Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (H) (Anaes.)
Schedule Fee:
342.65
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52458 (Cleft Lip Flap Reconstruction (Second Stage)) typically used?

The need for cleft lip reconstruction using a full thickness flap (e.g., Abbe flap), second stage, arises when a patient, having undergone the first stage of flap transfer from the opposite lip to repair a severe cleft lip defect, requires completion under anesthesia in a hospital to detach the flap, refine the reconstruction, and fully restore lip function and aesthetics. This is indicated as the concluding step in a staged repair, critical where the initial flap needs adjustment to finalize maxillofacial restoration.

Specific scenarios include:

  • Flap detachment: The pedicle from the lower lip needs cutting to free the upper lip repair.
  • Refinement: Adjusts flap for symmetry and function.
  • Functional fix: Completes lip closure for speech or eating.
  • Aesthetic finish: Ensures smooth lip contour.

For instance, a patient post-first stage might need this to detach the flap and perfect lip shape, enhancing speech. In aged care, an elderly patient could complete this for function, given frailty. By finishing the flap repair, this service restores full lip integrity, enhances function, and completes aesthetics, making it essential for staged cleft lip reconstruction.

Benefits to the patient

Surgeons completing cleft lip reconstruction with a full-thickness flap (e.g., Abbe) on the patient in the second stage under anesthesia provide finishing benefits. A key advantage is completing lip repair. This stage finalizes the patient’s reconstruction, ensuring full restoration—essential for 'Abbe flap completion benefits.' It also restores full function by refining the flap, enhancing the patient’s speech and feeding abilities. Furthermore, it refines aesthetics by perfecting the lip, boosting the patient’s appearance. For surgeons researching 'second-stage cleft reconstruction advantages,' this service ensures patients experience complete restoration, functional enhancement, and aesthetic refinement, marking a successful conclusion to lip reconstruction.

Recovery considerations

Recovery of 2-3 weeks with swelling and adjustment; hospital stay possible.

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