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52186 - Bone Tumour Excision with Multiple Techniques

MBS service description:

Bone tumour in the oral and maxillofacial region, lesional or marginal excision of, combined with any 2 or more of liquid nitrogen freezing, autograft, allograft or cementation (H) (Anaes.) (Assist.)
Schedule Fee:
858.1
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52186 (Bone Tumour Excision with Multiple Techniques) typically used?

The need for lesional or marginal excision of a bone tumour in the oral and maxillofacial region, combined with two or more techniques like liquid nitrogen freezing, autograft, allograft, or cementation, arises when a patient has a particularly aggressive or complex bone tumour—benign or malignant—requiring enhanced removal and reconstruction under anesthesia with assistance in a hospital to ensure complete eradication, structural integrity, and minimal recurrence risk. This procedure is indicated for challenging cases needing multiple adjuncts, critical where bone stability and function are paramount in the maxillofacial area.

Specific scenarios include:

  • Large aggressive tumours: A mandibular ameloblastoma might need excision, freezing, and autograft to kill cells and rebuild.
  • Malignancy: An osteosarcoma could require excision, allograft, and cementation for strength and tumour control.
  • High recurrence: Combining freezing and grafting reduces regrowth in porous bone.
  • Extensive defects: Multiple techniques fill and stabilize large post-excision gaps.

For instance, a patient with a maxillary tumour might need excision, freezing, and allograft to ensure no cancer remains and support the sinus, with assistance for complexity. In aged care, an elderly patient could benefit from excision, cementation, and allograft to avoid extensive surgery, given their frailty. By using multiple methods, this service maximizes tumour removal, enhances bone repair, and preserves function, making it essential for severe maxillofacial bone tumour cases.

Benefits to the patient

Surgeons excising a bone tumor in the patient’s oral and maxillofacial region with two or more additional techniques (liquid nitrogen, autograft, allograft, or cementation) under anesthesia with assistance provide comprehensive benefits. A key advantage is fully removing the tumor. This multi-method approach ensures the patient’s lesion is eradicated—vital for 'robust tumor excision benefits.' It also rebuilds bone robustly by combining reinforcements, ensuring the patient’s jaw strength is maximized. Furthermore, it minimizes recurrence by enhancing clearance, offering the patient lasting protection. For surgeons exploring 'multi-technique tumor removal advantages,' this assisted service ensures patients experience complete tumor removal, strong reconstruction, and recurrence reduction, making it a powerful strategy for complex bone tumors.

Recovery considerations

Recovery of 6-10 weeks with swelling and complex healing; hospital stay needed.

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