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52184 - Bone Tumour Excision with Freezing or Grafting

MBS service description:

Bone tumour in the oral and maxillofacial region, lesional or marginal excision of, combined with any one of liquid nitrogen freezing, autograft, allograft or cementation (H) (Anaes.) (Assist.)
Schedule Fee:
697.2
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52184 (Bone Tumour Excision with Freezing or Grafting) typically used?

The need for lesional or marginal excision of a bone tumour in the oral and maxillofacial region, combined with techniques like liquid nitrogen freezing, autograft, allograft, or cementation, arises when a patient has a bone tumour—benign or malignant—requiring removal with an adjunctive method under anesthesia with assistance in a hospital to enhance eradication, stabilize the bone, or prevent recurrence. This procedure is indicated for complex cases where simple excision isn’t sufficient, critical in the maxillofacial area where bone integrity supports function and facial structure.

Reasons include:

  • Aggressive benign tumours: An ameloblastoma in the mandible might need excision with freezing to kill residual cells.
  • Malignant lesions: A small osteosarcoma could require excision and autograft to rebuild bone strength.
  • Recurrence prevention: Freezing or cementation after excision reduces regrowth risk in porous bone.
  • Structural support: Allograft or cementation fills defects post-excision for stability.

For example, a patient with a mandibular tumour might need excision with liquid nitrogen to ensure all cancer cells are destroyed, with assistance for precision. In aged care, an elderly patient with a maxillary lesion could benefit from excision and cementation to avoid extensive grafting, given their frailty. By combining excision with these techniques, this service enhances tumour control, supports bone healing, and preserves function, making it vital for complex maxillofacial bone tumours.

Benefits to the patient

Surgeons excising a bone tumor in the patient’s oral and maxillofacial region with an additional technique (liquid nitrogen, autograft, allograft, or cementation) under anesthesia with assistance deliver enhanced benefits. A primary advantage is eradicating the tumor. This combined approach ensures the patient’s lesion is fully removed—crucial for 'bone tumor excision benefits.' It also strengthens bone by adding supportive measures, improving the patient’s structural stability. Furthermore, it reduces recurrence risk by enhancing tumor clearance, protecting the patient long-term. For surgeons researching 'advanced tumor excision advantages,' this assisted procedure ensures patients benefit from tumor elimination, bone reinforcement, and recurrence prevention, offering a fortified solution for bone tumors.

Recovery considerations

Recovery of 4-8 weeks with swelling and bone healing; hospital stay required.

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