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52460 - Velo-Pharyngeal Incompetence Repair

MBS service description:

Velo‑pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (H) (Anaes.)
Schedule Fee:
890.75
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52460 (Velo-Pharyngeal Incompetence Repair) typically used?

The need for a pharyngeal flap or pharyngoplasty to address velo-pharyngeal incompetence (VPI) arises when a patient experiences inadequate closure between the soft palate and pharynx—often post-cleft repair or due to neurological issues—causing nasal speech, swallowing difficulties, or regurgitation, requiring surgical correction under anesthesia in a hospital to improve velopharyngeal function. This is indicated for persistent VPI, critical in the maxillofacial region where speech and swallowing are affected.

Reasons include:

  • Cleft sequelae: A short palate post-repair might cause nasal speech, needing a flap.
  • Neurological: Stroke impairing palate movement could require pharyngoplasty.
  • Swallowing: Nasal regurgitation prompts repair.
  • Speech therapy failure: Persistent issues need surgical fix.

For example, a child with VPI post-cleft repair might need a pharyngeal flap for clear speech. In aged care, an elderly stroke patient could benefit for swallowing, given frailty. By enhancing closure, this service improves speech, prevents complications, and enhances quality of life, making it vital for VPI in the maxillofacial area.

Benefits to the patient

Surgeons performing a pharyngeal flap or pharyngoplasty for the patient’s velo-pharyngeal incompetence under anesthesia offer functional benefits. A key advantage is improving speech clarity. This procedure corrects the patient’s airway closure, enhancing articulation—crucial for 'VPI treatment benefits.' It also enhances swallowing by improving pharyngeal function, aiding the patient’s eating ability. Furthermore, it corrects VPI by addressing the underlying issue, improving the patient’s quality of life. For surgeons exploring 'pharyngeal flap advantages,' this service ensures patients benefit from speech improvement, swallowing enhancement, and VPI correction, providing an effective solution for velopharyngeal issues.

Recovery considerations

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

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