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52090 - Mandible or Maxilla Osteomyelitis Surgery

MBS service description:

OPERATION ON MANDIBLE OR MAXILLA (other than alveolar margins) for chronic osteomyelitis - 1 bone or in combination with adjoining bones (Anaes.) (Assist.)
Schedule Fee:
406
@85% Benefit Fee:
345.1
@75% Benefit Fee:
345.1
Last updated on
March 29, 2025

When is item code 52090 (Mandible or Maxilla Osteomyelitis Surgery) typically used?

The need for an operation on the mandible or maxilla (excluding alveolar margins) for chronic osteomyelitis arises when a persistent bone infection—often from dental sources, trauma, or surgery—causes pain, swelling, or bone destruction, requiring surgical intervention under anesthesia with assistance to remove infected tissue and restore health. This condition, marked by recurrent abscesses or sinus tracts, resists antibiotics alone, necessitating debridement or resection of the affected bone. It is critical in the maxillofacial region where chronic infection can weaken the jaw, impair function, or spread systemically.

Reasons include:

  • Dental origin: A chronic tooth infection spreading to the mandible might form sequestra, needing surgery to remove dead bone.
  • Trauma aftermath: A jaw fracture healing poorly can harbor infection, requiring debridement for resolution.
  • Sinus tracts: Persistent drainage from osteomyelitis in the maxilla might erode bone, needing excision to heal.
  • Systemic risk: Chronic infection in frail patients can lead to sepsis, prompting surgery to protect overall health.

For example, a patient with mandibular osteomyelitis from a failed root canal might need this to stop pain and sinus drainage, with assistance ensuring thoroughness. In aged care, an elderly patient with maxillary infection from a prior injury could require this to prevent systemic spread, given their vulnerability. By addressing the infected bone, this service halts progression, preserves structure, and promotes healing, making it essential for managing chronic osteomyelitis in the maxillofacial area.

Benefits to the patient

Surgeons operating on the patient’s mandible or maxilla for chronic osteomyelitis under anesthesia with assistance offer profound benefits for severe infections. A primary advantage is the elimination of infection. This procedure removes the patient’s diseased bone, halting the spread of osteomyelitis—vital for 'osteomyelitis treatment benefits.' It also preserves jaw integrity by excising only infected areas, ensuring the patient’s structural stability. Furthermore, it prevents systemic complications by stopping infection progression, protecting the patient’s overall health. For surgeons exploring 'jaw osteomyelitis surgery advantages,' this assisted service ensures patients experience infection eradication, structural preservation, and complication prevention, making it a critical intervention for chronic bone infections.

Recovery considerations

Recovery of 4-6 weeks with swelling and limited use; bone healing takes months.

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