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52122 - Hemi-Mandibular or Maxilla Reconstruction

MBS service description:

Mandible, hemi‑mandibular reconstruction of, or maxilla reconstruction of, with bone graft, plate, tray or alloplast, other than a service associated with a service to which item 52123 applies (H) (Anaes.) (Assist.)
Schedule Fee:
942.5
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52122 (Hemi-Mandibular or Maxilla Reconstruction) typically used?

The need for hemi-mandibular or maxillary reconstruction with bone graft, plate, tray, or alloplast arises when a patient loses half the mandible or significant maxillary bone—often from resection for tumours or trauma—requiring surgical rebuilding under anesthesia with assistance in a hospital to restore structure, function, and aesthetics. This procedure is indicated for defects needing permanent repair beyond initial resection, using grafts or prosthetics to rebuild the jaw. It is critical in the maxillofacial region where bone loss impairs chewing, speech, or facial contour.

Specific scenarios include:

  • Post-resection: After hemimandiblectomy for cancer, a graft and plate might rebuild the jaw half.
  • Trauma: A shattered maxilla from an accident could need an alloplast tray for support.
  • Functional loss: Missing bone impairs eating or speaking, requiring reconstruction.
  • Aesthetic repair: Bone loss causing facial collapse needs rebuilding for appearance.

For example, a patient post-tumour resection might need mandibular reconstruction with a bone graft and plate to chew again, with assistance ensuring fit. In aged care, an elderly patient with maxillary loss from trauma could benefit from this with an alloplast, given their frailty. By reconstructing the jaw, this service restores function, supports health, and enhances quality of life, making it vital for significant maxillofacial defects.

Benefits to the patient

Surgeons reconstructing the patient’s hemi-mandible or maxilla with bone graft, plate, tray, or alloplast under anesthesia with assistance deliver restorative benefits. A key advantage is restoring jaw structure. This procedure rebuilds the patient’s jaw, enhancing stability—essential for 'jaw reconstruction benefits.' It also improves function by supporting chewing or speaking, aiding the patient’s daily life. Additionally, it enhances facial aesthetics by correcting deformities, boosting the patient’s appearance. For surgeons exploring 'maxillofacial reconstruction advantages,' this assisted service ensures patients benefit from structural restoration, functional improvement, and aesthetic enhancement, providing a comprehensive solution for jaw reconstruction.

Recovery considerations

Recovery of 6-12 weeks with swelling and diet changes; graft integration takes months.

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