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52357 - Complex Mandible or Maxilla Osteotomy with Fixation (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 and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Schedule Fee:
1799.05
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52357 (Complex Mandible or Maxilla Osteotomy with Fixation (3+ Procedures)) typically used?

The need for osteotomies or osteectomies with three or more procedures on one jaw, including fixation, arises when a patient requires extensive bone adjustment—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 complex repair and stability in the mandible or maxilla. This is indicated for intricate unilateral cases needing robust correction, critical where jaw function and strength are paramount.

Specific scenarios include:

  • Severe deformity: Multiple cuts and plates correct a twisted jaw.
  • Tumours: Extensive osteectomies with screws rebuild bone.
  • Trauma: Complex fractures need multiple fixes.
  • Stability: Ensures chewing or speech function.

For instance, a patient with a maxillary deformity might need three osteotomies and plating for alignment. In aged care, an elderly patient could benefit for function, given frailty. By cutting, grafting, and fixing, this service restores structure, enhances stability, and supports recovery, making it vital for complex maxillofacial repairs.

Benefits to the patient

Surgeons performing multiple osteotomies or osteectomies (three or more) on one of the patient’s jaws with fixation under anesthesia with assistance offer robust benefits. A key advantage is restoring complex structure. This procedure realigns and stabilizes the patient’s jaw with grafts and hardware—essential for 'stabilized complex jaw surgery benefits.' It also ensures robust stability by securing the bone, supporting the patient’s long-term function. Additionally, it improves function by enhancing jaw capabilities, aiding the patient’s daily life. For surgeons exploring 'multi-procedure fixed osteotomy advantages,' this assisted service ensures patients benefit from structural restoration, lasting stability, and functional enhancement, making it a comprehensive fix for intricate jaw issues.

Recovery considerations

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

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