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52114 - Mandible or Maxilla Segmental Resection

MBS service description:

Mandible or maxilla, segmental resection of, for tumours or cysts (H) (Anaes.) (Assist.)
Schedule Fee:
669.4
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52114 (Mandible or Maxilla Segmental Resection) typically used?

The need for segmental resection of the mandible or maxilla arises when a patient has a significant tumour or cyst within these bones requiring removal of a bone segment under anesthesia with assistance in a hospital to eliminate pathology, preserve function, or prevent spread. This procedure is indicated for large or aggressive lesions—like ameloblastomas or odontogenic cysts—that erode bone or risk malignancy, where partial removal isn’t feasible. It is critical in the maxillofacial region where jaw integrity supports chewing, speech, and facial structure.

Reasons include:

  • Tumours: An ameloblastoma in the mandible might invade bone, needing resection to stop growth.
  • Cysts: A large cyst weakening the maxilla could fracture, requiring segment removal for stability.
  • Malignancy risk: Suspicious lesions need excision with margins to prevent cancer spread.
  • Functional threat: Bone loss from pathology might impair jaw movement, needing surgery.

For instance, a patient with a mandibular tumour eroding bone might need this to prevent fracture and reconstruct the jaw, with assistance ensuring precision. In aged care, an elderly patient with a large maxillary cyst could require this to avoid sinus collapse, given their frailty. By resecting the segment, this service removes disease, maintains structure, and supports reconstruction, making it essential for severe jaw pathology in the maxillofacial area.

Benefits to the patient

Surgeons resecting a segment of the patient’s mandible or maxilla for tumors or cysts under anesthesia with assistance deliver significant benefits. A primary advantage is pathology elimination. This procedure removes the patient’s abnormal growth, resolving symptoms like pain or swelling—essential for 'jaw resection benefits.' It also preserves jaw function by targeting only the affected segment, allowing the patient to retain chewing or speaking abilities. Furthermore, it prevents progression by excising the lesion, protecting the patient from further disease spread. For surgeons researching 'segmental resection advantages,' this assisted service ensures patients experience pathology removal, functional preservation, and progression prevention, making it a key intervention for jaw tumors or cysts.

Recovery considerations

Recovery of 6-8 weeks with swelling and diet changes; reconstruction may extend time.

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