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52380 - Midfacial Osteotomy (Le Fort II or III)

MBS service description:

Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (H) (Anaes.) (Assist.)
Schedule Fee:
2481.9
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52380 (Midfacial Osteotomy (Le Fort II or III)) typically used?

The need for midfacial osteotomies (Le Fort II, Modified Le Fort III, or Le Fort III) involving three or more procedures arises when a patient requires extensive midface correction—often for severe deformity, trauma, or pathology—under anesthesia with assistance in a hospital, including nerve and vessel transposition and same-site grafts to adjust structure and rebuild. This is indicated for complex midfacial issues, critical where symmetry and function are severely affected.

Reasons include:

  • Deformity: Severe midface retrusion needs multiple cuts.
  • Trauma: Shattered midface requires osteotomies.
  • Tumours: Extensive resection needs rebuilding.
  • Function: Restores breathing or chewing.

For example, a patient with a craniofacial deformity might need a Le Fort III for symmetry, with grafts for strength. In aged care, an elderly patient could benefit for function, given frailty. By adjusting the midface, this service restores structure, enhances function, and supports health, making it a key maxillofacial correction.

Benefits to the patient

Surgeons performing midfacial osteotomies (Le Fort II or III variants) on the patient with multiple procedures under anesthesia with assistance provide extensive benefits. A key advantage is correcting midface structure. This procedure realigns the patient’s midfacial bones, improving symmetry—essential for 'midface osteotomy benefits.' It also restores function by enhancing nasal or oral capabilities, aiding the patient’s breathing or chewing. Furthermore, it improves aesthetics by refining facial contours, boosting the patient’s appearance. For surgeons researching 'Le Fort surgery advantages,' this assisted service ensures patients experience structural correction, functional restoration, and aesthetic enhancement, offering a comprehensive solution for midfacial issues.

Recovery considerations

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

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