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53062 - Post-Surgical Nasal Haemorrhage Control

MBS service description:

POST SURGICAL NASAL HAEMORRHAGE, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (Anaes.)

Sub-category:

O7 - Neurosurgery
Schedule Fee:
102.55
@85% Benefit Fee:
87.2
@75% Benefit Fee:
87.2
Last updated on
March 28, 2025

When is item code 53062 (Post-Surgical Nasal Haemorrhage Control) typically used?

The need for arrest of post-surgical nasal hemorrhage during an episode of epistaxis by cauterization or nasal cavity packing arises when a patient experiences acute bleeding from the nose following a nasal or maxillofacial surgery—such as septoplasty or sinus surgery—requiring immediate intervention under anesthesia to stop the hemorrhage using cauterization, packing, or both during the bleeding event. This procedure is indicated for acute post-surgical epistaxis, critical in the maxillofacial region where bleeding can compromise airway safety or lead to significant blood loss.

Specific conditions necessitating this intervention include:

  • Surgical complication: A freshly operated nasal septum might bleed from a disrupted vessel, needing cauterization to seal it during an active episode.
  • Post-operative trauma: Minor injury to a surgical site could reopen a wound, requiring packing to tamponade the bleeding quickly.
  • Airway protection: Blood flowing into the throat during epistaxis might obstruct breathing, prompting urgent packing to control the flow and secure the airway.
  • Rapid blood loss: Excessive bleeding post-surgery risks anemia or instability, necessitating immediate cauterization or packing to halt it.

For example, a patient bleeding heavily from the nose a day after sinus surgery might require cauterization of a visible vessel under anesthesia to stop the flow, with packing added if needed. In an aged care setting, an elderly patient with post-surgical epistaxis—exacerbated by frailty or anticoagulation—could need this to prevent airway compromise or shock, performed urgently to stabilize them. By applying cauterization or packing during the bleeding episode, this service swiftly controls hemorrhage, protects respiratory function, and stabilizes the patient, making it an essential emergency response within the maxillofacial framework.

Benefits to the patient

Stops acute nasal bleeding, protects airway, and stabilizes patient post-surgery.

Recovery considerations

Recovery of 1-2 days with nasal discomfort and packing removal; minimal hospital stay typically required.

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