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52105 - Plate and Screw Removal (Per Bone)

MBS service description:

Plate, one or more of, and associated screw and wire which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, other than a service associated with a service to which item 52099 or 52102 applies (H) (Anaes.) (Assist.)
Schedule Fee:
300.3
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52105 (Plate and Screw Removal (Per Bone)) typically used?

The need for removal of one or more plates, screws, and wires used for internal fixation in the maxilla, mandible, or zygoma arises when these devices—previously placed to stabilize fractures or reconstructions—cause infection, discomfort, or hardware issues after healing, requiring surgical extraction under anesthesia with assistance in a hospital per bone. This procedure is indicated for standalone removals not linked to specific other services, critical when the hardware impacts maxillofacial health or function post-recovery.

Reasons include:

  • Infection: A mandibular plate causing pus drainage might need removal to stop osteomyelitis.
  • Hardware exposure: A plate in the maxilla protruding through gums requires extraction to heal.
  • Discomfort: Palpable or painful plates after healing prompt surgery for relief.
  • Healing completion: Stable bones no longer needing fixation benefit from removal.

For instance, a patient with a maxillary plate from a fracture causing sinus pain might need this, with assistance ensuring thoroughness. In aged care, an elderly patient with an infected mandibular plate could require this to prevent systemic issues, given their frailty. By extracting the hardware, this service resolves complications, restores comfort, and completes the healing process, making it essential for managing post-fixation challenges in the maxillofacial area.

Benefits to the patient

Surgeons removing plates and associated screws or wires from the patient’s maxilla, mandible, or zygoma under anesthesia with assistance offer comprehensive post-healing benefits. A primary advantage is eliminating hardware issues. This procedure resolves the patient’s discomfort or complications from plates—vital for 'plate removal benefits.' It also prevents infection by excising potential bacterial sites, protecting the patient’s healed bone. Furthermore, it enhances comfort by clearing bulky hardware, improving the patient’s quality of life. For surgeons researching 'maxillofacial plate removal advantages,' this assisted service ensures patients experience issue resolution, infection prevention, and comfort improvement, providing a thorough solution after successful fixation.

Recovery considerations

Recovery of 2-4 weeks with swelling and suture care; hospital monitoring may be needed.

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