53224 - TMJ Exploration with Condylectomy

The need for open surgical exploration of the temporomandibular joint (TMJ) with condylectomy or condylotomy arises when a patient has severe TMJ pathology—such as ankylosis, advanced arthritis, or condylar deformity—requiring surgical exposure under anesthesia with assistance in a hospital, including removal (condylectomy) or cutting (condylotomy) of the condyle, with or without microsurgery, to restore function or relieve pain. This procedure is indicated for significant condylar issues, critical in the maxillofacial region where TMJ integrity affects jaw movement.

Several scenarios necessitate this intervention:

• Ankylosis: Bony fusion locking the TMJ might require condylectomy to remove the condyle and free the joint.
• Severe arthritis: A deformed condyle causing pain could need condylotomy to reposition it and improve motion.
• Condylar pathology: A tumour or fracture might prompt condylectomy for removal and exploration.
• Functional loss: Severe limitation needs surgical correction.

For instance, a patient with TMJ ankylosis might need condylectomy to regain opening, with microsurgery for nerve safety. In aged care, an elderly patient could benefit for pain relief, given frailty. By exploring and modifying the condyle, this service restores function, relieves pain, and addresses pathology, making it a key maxillofacial procedure.

Restores TMJ function, relieves severe pain, and corrects condylar issues.

Recovery of 6-8 weeks with swelling, therapy, and restricted motion; hospital stay required.