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52126 - Total Maxilla Resection

MBS service description:

Maxilla, total resection of (H) (Anaes.) (Assist.)
Schedule Fee:
1025.8
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52126 (Total Maxilla Resection) typically used?

The need for total resection of the maxilla arises when a patient has a severe condition—such as a large tumour, cyst, or infection—compromising the entire maxillary bone, requiring complete removal under anesthesia with assistance in a hospital to eliminate pathology and prepare for reconstruction. This procedure is indicated for aggressive diseases like maxillary sarcoma or massive cysts where partial resection isn’t viable, critical in the maxillofacial region where the maxilla supports the face, sinuses, and oral cavity.

Specific indications include:

  • Tumours: A sarcoma engulfing the maxilla might need total resection to stop invasion.
  • Cysts: A massive cyst destroying the bone could collapse the face, requiring removal.
  • Infection: Severe osteomyelitis across the maxilla prompts excision for healing.
  • Structural failure: Extensive damage threatens facial stability, needing surgery.

For example, a patient with a maxillary tumour eroding into sinuses might need this to prevent spread, with assistance for reconstruction. In aged care, an elderly patient with a total maxillary infection could require this to avoid systemic issues, given their frailty. By removing the maxilla, this service eradicates disease, supports rebuilding, and preserves health, making it vital for severe maxillary pathology in the maxillofacial area.

Benefits to the patient

Surgeons resecting the patient’s entire maxilla under anesthesia with assistance provide significant benefits for severe maxillary conditions. A key advantage is pathology removal. This procedure eliminates the patient’s diseased maxilla, resolving symptoms—vital for 'maxillectomy benefits.' It also enables reconstruction by clearing the site, preparing the patient for restorative work. Additionally, it prevents progression by excising the lesion, protecting the patient from further deterioration. For surgeons exploring 'maxilla resection advantages,' this assisted service ensures patients benefit from pathology elimination, reconstruction potential, and progression prevention, offering an essential solution for total maxillary issues.

Recovery considerations

Recovery of 8-12 weeks with swelling and major functional loss until rebuilt.

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