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52372 - Complex Bilateral Osteotomy (3+ Procedures Each)

MBS service description:

MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Schedule Fee:
2202.8
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52372 (Complex Bilateral Osteotomy (3+ Procedures Each)) typically used?

The need for complex bilateral osteotomies or osteectomies with three or more procedures on each jaw, including genioplasty, 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 and same-site grafts to adjust severe asymmetry or rebuild structure. This is indicated for highly complex bilateral issues, critical where jaw and chin balance affect maxillofacial function.

Reasons include:

  • Extreme deformity: Severe jaw misalignment needs multiple cuts.
  • Tumours: Extensive growths require osteectomies.
  • Genioplasty: Chin adjustment enhances symmetry.
  • Function: Restores chewing or speech.

For example, a patient with a grossly asymmetrical jaw and chin might need this for balance, with grafts for strength. In aged care, an elderly patient could benefit for function, given frailty. By adjusting both jaws and chin extensively, this service restores symmetry, enhances function, and supports health, making it a key maxillofacial correction.

Benefits to the patient

Surgeons performing extensive bilateral osteotomies or osteectomies on both the patient’s mandible and maxilla with multiple procedures and genioplasty under anesthesia with assistance provide profound benefits. A key advantage is correcting severe asymmetry. This procedure addresses the patient’s complex jaw issues comprehensively, improving balance—vital for 'severe jaw asymmetry benefits.' It also restores function by realigning both jaws thoroughly, enhancing the patient’s capabilities. Furthermore, it improves aesthetics by refining contours, including the chin, boosting the patient’s appearance. For surgeons researching 'extensive bilateral osteotomy advantages,' this assisted service ensures patients experience asymmetry correction, functional restoration, and aesthetic enhancement, offering a complete solution for severe jaw conditions.

Recovery considerations

Recovery of 8-12 weeks with swelling and jaw care; bone healing takes time.

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