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52102 - Buried Wire or Pin Removal in Theatre (Per Bone)

MBS service description:

Buried wire, pin or screw, one or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, if undertaken in the operating theatre of a hospital, per bone (H) (Anaes.)
Schedule Fee:
160.85
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52102 (Buried Wire or Pin Removal in Theatre (Per Bone)) typically used?

The need for removal of buried wires, pins, or screws from the maxilla, mandible, or zygoma in an operating theatre arises when these internal fixation devices—used for prior fracture or surgical stabilization—cause significant issues like infection, pain, or hardware failure after healing, requiring precise surgical extraction under anesthesia in a hospital per bone. This procedure is indicated for complex cases needing a controlled environment, critical when complications threaten maxillofacial bone health or function.

Specific scenarios include:

  • Severe infection: A mandibular screw causing osteomyelitis might need theatre removal to manage spread.
  • Complex hardware: Multiple pins in the maxilla from trauma could require careful dissection near sinuses.
  • Patient factors: Frail or comorbid patients need hospital care for safety during extraction.
  • Post-healing: Stable bones with symptomatic hardware prompt removal for comfort.

For example, a patient with an infected zygomatic pin from a past repair might need this in theatre to prevent facial swelling, ensuring precision. In aged care, an elderly patient with a painful maxillary screw could benefit from this to avoid complications, given their frailty. By removing the devices in a hospital, this service addresses serious issues, prevents further damage, and supports recovery, making it vital for significant post-fixation challenges in the maxillofacial region.

Benefits to the patient

Surgeons removing buried wires, pins, or screws from the patient’s maxilla, mandible, or zygoma in a hospital operating theatre under anesthesia deliver enhanced benefits. A key advantage is resolving complications. This controlled setting ensures the patient’s hardware-related issues—like irritation or infection—are addressed safely—crucial for 'hospital hardware removal benefits.' It also ensures safety by leveraging sterile conditions, minimizing the patient’s risk during extraction. Additionally, it restores comfort by removing obsolete devices, improving the patient’s post-healing experience. For surgeons exploring 'maxillofacial hardware removal advantages,' this procedure ensures patients benefit from complication resolution, safe execution, and comfort restoration, making it an optimal choice for post-fixation care.

Recovery considerations

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

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