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52354 - Complex Mandible or Maxilla Osteotomy (3+ Procedures)

MBS service description:

MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Schedule Fee:
1598.05
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52354 (Complex Mandible or Maxilla Osteotomy (3+ Procedures)) typically used?

The need for osteotomies or osteectomies involving three or more procedures on one jaw arises when a patient requires extensive bone cutting or removal—often for severe deformity, trauma, or pathology—under anesthesia with assistance, including nerve and vessel transposition and same-site grafts to correct complex issues in the mandible or maxilla. This is indicated for intricate unilateral repairs, critical where multiple adjustments enhance maxillofacial function.

Reasons include:

  • Complex deformity: A severely misaligned jaw needs multiple cuts.
  • Tumours: Extensive growth requires multiple osteectomies.
  • Trauma: Shattered bone needs several repairs.
  • Function: Restores chewing or symmetry.

For example, a patient with a mandibular deformity might need three osteotomies for alignment, with grafts for strength. In aged care, an elderly patient could benefit for function, given frailty. By performing multiple procedures, this service corrects complexity, enhances function, and supports recovery, making it a key maxillofacial solution.

Benefits to the patient

Surgeons performing multiple osteotomies or osteectomies (three or more) on one of the patient’s jaws under anesthesia with assistance deliver extensive benefits. A primary advantage is correcting complex issues. This procedure addresses the patient’s multifaceted jaw problems, improving alignment—vital for 'complex jaw surgery benefits.' It also restores function by realigning the jaw comprehensively, enhancing the patient’s capabilities. Furthermore, it improves structure by refining the jaw, supporting the patient’s aesthetics and health. For surgeons researching 'multi-procedure jaw surgery advantages,' this assisted service ensures patients experience issue correction, functional restoration, and structural improvement, providing a thorough solution for complex jaw conditions.

Recovery considerations

Recovery of 6-8 weeks with swelling and jaw care; bone healing extends time.

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