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52369 - Complex Bilateral Osteotomy with Fixation (3+ and 2 Procedures)

MBS service description:

MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and 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:
2270.15
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52369 (Complex Bilateral Osteotomy with Fixation (3+ and 2 Procedures)) typically used?

The need for complex bilateral osteotomies or osteectomies with three or more procedures on one jaw and two on the other, including genioplasty and fixation, arises when a patient requires extensive correction of both mandible and maxilla—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 intricate bilateral issues needing robust repair, critical where jaw and chin stability support maxillofacial function.

Specific scenarios include:

  • Severe deformity: Complex misalignment needs multiple cuts and plating.
  • Tumours: Extensive osteectomies with screws rebuild bone.
  • Genioplasty: Chin correction enhances balance.
  • Stability: Ensures chewing or speech function.

For instance, a patient with a severe jaw and chin 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, fixing, and adjusting the chin, this service restores structure, enhances stability, and supports recovery, making it essential for complex maxillofacial repairs.

Benefits to the patient

Surgeons performing complex bilateral osteotomies or osteectomies on the patient’s mandible and maxilla with fixation and genioplasty under anesthesia with assistance deliver robust benefits. A key advantage is restoring complex structure. This procedure realigns and stabilizes both jaws with grafts, hardware, and chin adjustment—crucial for 'stabilized complex jaw surgery benefits.' It also ensures robust stability by securing the bones, supporting the patient’s long-term function. Additionally, it improves function and aesthetics by enhancing jaw and chin capabilities, aiding the patient’s daily life and appearance. For surgeons exploring 'fixed complex osteotomy advantages,' this assisted service ensures patients benefit from structural restoration, lasting stability, and enhanced outcomes, offering a comprehensive fix for intricate jaw issues.

Recovery considerations

Recovery of 8-12 weeks with swelling and fixation care; extended healing.

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