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51902 - Oral and Maxillofacial Wound Dressing

MBS service description:

Wounds of the oral and maxillofacial region, dressing of, under general anaesthesia, with or without removal of sutures, other than a service associated with a service to which another item in Groups O3 to O9 applies (H) (Anaes.)
Schedule Fee:
84.25
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 51902 (Oral and Maxillofacial Wound Dressing) typically used?

The need for dressing wounds in the oral and maxillofacial region under general anesthesia arises when patients require specialized wound care that cannot be safely or effectively managed without sedation. This procedure is indicated for complex or painful wounds—such as those from trauma, surgery, or infection—where dressing changes or suture removal involve deep tissues, sensitive areas, or patients unable to tolerate the process awake. Performed in a hospital setting, it ensures proper wound management while minimizing distress and maintaining a sterile environment, critical for healing in the moist, bacteria-prone oral cavity.

Reasons for this intervention include:

  • Post-surgical care: After procedures like jaw fracture fixation or tumor resection, dressings protect healing sites from saliva and food, requiring anesthesia for pain-free application.
  • Trauma wounds: Severe facial lacerations with exposed muscle or bone need secure dressings to prevent contamination, often necessitating sedation due to sensitivity.
  • Suture removal: Deep or intraoral sutures may be inaccessible or too painful to remove without anesthesia, especially in inflamed or infected areas.
  • Patient factors: Elderly or cognitively impaired patients in aged care may resist or misunderstand the process, making general anesthesia necessary for compliance.

For instance, a patient with a post-operative maxillofacial wound might require a dressing change to manage swelling and drainage, but gag reflexes or pain could complicate the procedure without sedation. In hospital settings, this service also addresses infection risks in immunocompromised patients, where even minor wound exposure could lead to serious complications. By using general anesthesia, the practitioner can meticulously clean, dress, and assess the wound, ensuring optimal healing conditions and reducing the likelihood of dehiscence or secondary infection, thus supporting recovery in complex cases.

Benefits to the patient

Surgeons dressing wounds in the oral and maxillofacial region under general anesthesia provide their patients with essential benefits that enhance recovery. A primary advantage is the protection of wounds. Post-surgery or injury, the patient’s exposed tissues are at risk from bacteria or irritation, but sterile dressings shield the site, reducing infection likelihood—crucial for surgeons seeking 'oral wound protection methods.' It also lowers infection risk during suture removal or dressing changes by maintaining a clean environment, vital for patients with deep or complex wounds. Additionally, it ensures the patient’s comfort. Performed under anesthesia, this process is painless, especially in sensitive facial areas, improving the patient’s experience—a perk for surgeons researching 'oral wound care benefits.' For patients in hospital settings, this service delivers expert care directly, supporting faster healing and a smoother recovery, equipping surgeons with a reliable tool to optimize patient outcomes.

Recovery considerations

Short recovery from anesthesia; wound healing varies by severity, typically 1-2 weeks.

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