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52351 - Bilateral Mandible or Maxilla Osteotomy with Fixation

MBS service description:

MANDIBLE or MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Schedule Fee:
1576.35
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52351 (Bilateral Mandible or Maxilla Osteotomy with Fixation) typically used?

The need for bilateral osteotomy or osteectomy of the mandible or maxilla with fixation arises when a patient requires bone cutting or removal on both sides—often for severe deformity or pathology—under anesthesia with assistance, including nerve and vessel transposition, same-site grafts, and stabilization with wires, screws, plates, or pins to ensure symmetry and healing. This is indicated for complex bilateral issues needing robust repair, critical where jaw stability supports maxillofacial function.

Specific scenarios include:

  • Deformity: Bilateral jaw misalignment needs osteotomy and plating.
  • Tumours: Bilateral osteectomy with screws rebuilds bone.
  • Trauma: Double fractures require cutting and fixation.
  • Stability: Ensures chewing or speech function.

For instance, a patient with bilateral maxillary deformity might need this for alignment, with fixation for strength. In aged care, an elderly patient could benefit for function, given frailty. By cutting, grafting, and fixing both sides, this service restores structure, enhances stability, and supports recovery, making it essential for extensive maxillofacial repairs.

Benefits to the patient

Surgeons performing a bilateral osteotomy or osteectomy on the patient’s mandible or maxilla with fixation under anesthesia with assistance provide comprehensive benefits. A key advantage is restoring bilateral structure. This procedure realigns and stabilizes the patient’s jaws with grafts and hardware—crucial for 'fixed bilateral jaw surgery benefits.' It also ensures stability by securing both sides, supporting the patient’s long-term function. Additionally, it improves function by enhancing bite and speech, aiding the patient’s quality of life. For surgeons exploring 'stabilized bilateral osteotomy advantages,' this assisted service ensures patients benefit from structural restoration, lasting stability, and functional enhancement, offering a robust fix for bilateral jaw issues.

Recovery considerations

Recovery of 6-10 weeks with swelling and fixation care; extended healing time.

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