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53226 - TMJ Synovectomy

MBS service description:

Temporomandibular joint, synovectomy of, other than a service to which another item in this Group applies (H) (Anaes.) (Assist.)
Schedule Fee:
355.8
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 28, 2025

When is item code 53226 (TMJ Synovectomy) typically used?

The need for synovectomy of the temporomandibular joint (TMJ) arises when a patient has severe synovial inflammation—often from rheumatoid arthritis or chronic synovitis—causing pain, swelling, or restricted motion, requiring surgical removal of the synovial lining under anesthesia with assistance in a hospital, excluding other grouped TMJ procedures. This is indicated for significant synovial pathology, critical where joint health affects maxillofacial function.

Reasons include:

  • Rheumatoid arthritis: Inflamed synovium causes pain.
  • Chronic synovitis: Persistent swelling limits motion.
  • Joint damage: Synovial overgrowth needs removal.
  • Function: Restores chewing ability.

For instance, a patient with rheumatoid TMJ pain might need this to reduce inflammation, with assistance for precision. In aged care, an elderly patient could benefit for comfort, given frailty. By removing the synovium, this service relieves pain, enhances mobility, and prevents damage, making it a key maxillofacial procedure.

Benefits to the patient

Reduces TMJ inflammation, relieves pain, and restores function.

Recovery considerations

Recovery of 4-6 weeks with swelling and therapy; hospital stay required.

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