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52821 - Nerve Trunk Cable Graft

MBS service description:

Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft using microsurgical techniques (H) (Anaes.) (Assist.)
Schedule Fee:
1173.65
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52821 (Nerve Trunk Cable Graft) typically used?

The need for a nerve graft to a nerve trunk (cable graft) arises when a patient has a significant gap or loss in a major nerve trunk—often the facial or trigeminal nerve—in the oral and maxillofacial region, requiring a harvested nerve graft under anesthesia with assistance in a hospital using microsurgical techniques to bridge the gap and restore function. This is indicated for severe nerve defects, critical where continuity affects maxillofacial sensation or movement.

Specific scenarios include:

  • Trauma: A severed facial nerve needs a graft.
  • Surgery: Tumour resection cuts a nerve, requiring repair.
  • Function loss: Restores movement or sensation.
  • Pain: Prevents neuroma with reconnection.

For instance, a patient with a facial nerve gap post-trauma might need this to regain expression, with micro-precision. In aged care, an elderly patient could benefit for sensation, given frailty. By grafting the nerve, this service restores continuity, enhances function, and prevents complications, making it a specialized maxillofacial procedure.

Benefits to the patient

Surgeons grafting a nerve to the patient’s nerve trunk using microsurgical techniques under anesthesia with assistance deliver reconstructive benefits. A key advantage is restoring nerve continuity. This cable graft reconnects the patient’s severed nerve, ensuring function—essential for 'nerve graft benefits.' It also improves function by bridging the gap, enhancing the patient’s sensory or motor capabilities. Furthermore, it prevents chronic issues by addressing the injury comprehensively, supporting the patient’s long-term health. For surgeons researching 'microsurgical nerve graft advantages,' this assisted service ensures patients benefit from continuity restoration, functional improvement, and issue prevention, providing an advanced fix for severe nerve trunk damage.

Recovery considerations

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

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