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52120 - Hemimandiblectomy

MBS service description:

Mandible, hemimandiblectomy of, including condylectomy, if performed (H) (Anaes.) (Assist.)
Schedule Fee:
942.5
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52120 (Hemimandiblectomy) typically used?

The need for hemimandiblectomy, including condylectomy if performed, arises when a patient has a severe condition—such as a large tumour, cyst, or infection—affecting half of the mandible, requiring removal of that segment, potentially including the condyle, under anesthesia with assistance in a hospital. This procedure is indicated for aggressive pathology like osteosarcoma or ameloblastoma that compromises one mandibular side, where preservation isn’t possible. It is critical in the maxillofacial region where half the jaw’s loss affects chewing, speech, and facial symmetry.

Reasons include:

  • Malignancy: A sarcoma on one mandibular side might need hemimandiblectomy to stop spread.
  • Large cysts: An extensive cyst destroying half the jaw requires removal for stability.
  • Condylectomy: Tumour or arthritis in the condyle might necessitate its inclusion for full clearance.
  • Infection: Severe osteomyelitis in one half prompts resection to heal.

For instance, a patient with a mandibular tumour on the left side might need this, including the condyle, to eradicate cancer, with assistance for reconstruction. In aged care, an elderly patient with half-jaw infection could require this to prevent sepsis, given their frailty. By removing the affected half, this service eliminates disease, supports reconstruction, and preserves health, making it essential for severe unilateral mandibular pathology.

Benefits to the patient

Surgeons performing a hemimandiblectomy on the patient, with optional condylectomy, under anesthesia with assistance provide profound benefits for severe mandibular issues. A primary advantage is eradicating pathology. This procedure removes the patient’s diseased half-jaw, stopping progression—vital for 'hemimandiblectomy benefits.' It also enables reconstruction by clearing the site, preparing the patient for restorative procedures. Furthermore, it prevents spread by excising the affected area, protecting the patient’s overall health. For surgeons researching 'mandible resection advantages,' this assisted service ensures patients experience pathology elimination, reconstruction potential, and disease containment, offering a critical solution for significant mandibular conditions.

Recovery considerations

Recovery of 8-12 weeks with swelling and major functional adjustments; hospital stay needed.

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