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52382 - Midfacial Osteotomy with Fixation (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 and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) (Anaes.) (Assist.)
Schedule Fee:
2975.25
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52382 (Midfacial Osteotomy with Fixation (Le Fort II or III)) typically used?

The need for midfacial osteotomies (Le Fort II, Modified Le Fort III, or Le Fort III) with three or more procedures and fixation arises when a patient requires extensive midface correction—often for severe deformity or pathology—under anesthesia with assistance in a hospital, including nerve and vessel transposition, same-site grafts, and stabilization with wires, screws, plates, or pins to ensure structure and healing. This is indicated for complex midfacial repairs needing robust stability, critical where function and aesthetics are paramount.

Specific scenarios include:

  • Deformity: Severe midface issues need multiple cuts and plating.
  • Tumours: Extensive osteectomies with screws rebuild.
  • Trauma: Shattered midface requires fixing.
  • Stability: Ensures breathing or chewing function.

For instance, a patient with a midface deformity might need a Le Fort III with plates for alignment. In aged care, an elderly patient could benefit for function, given frailty. By cutting, grafting, and fixing, this service restores midface structure, enhances stability, and supports recovery, making it essential for complex maxillofacial repairs.

Benefits to the patient

Surgeons performing midfacial osteotomies (Le Fort II or III variants) on the patient with fixation under anesthesia with assistance deliver robust benefits. A key advantage is restoring midface structure. This procedure realigns and stabilizes the patient’s midfacial bones with grafts and hardware—crucial for 'fixed midface surgery benefits.' It also ensures robust stability by securing the area, supporting the patient’s long-term function. Additionally, it improves function and aesthetics by enhancing capabilities and appearance, aiding the patient’s quality of life. For surgeons exploring 'stabilized Le Fort advantages,' this assisted service ensures patients benefit from structural restoration, lasting stability, and enhanced outcomes, providing a durable fix for midfacial issues.

Recovery considerations

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

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