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53230 - TMJ Exploration with Condylar Surgery

MBS service description:

Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (H) (Anaes.) (Assist.)
Schedule Fee:
1524.8
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 28, 2025

When is item code 53230 (TMJ Exploration with Condylar Surgery) typically used?

The need for open surgical exploration of the temporomandibular joint (TMJ) with meniscus, capsular, and condylar head surgery arises when a patient has extensive TMJ pathology—such as severe arthritis, ankylosis, or condylar deformity—requiring surgical exposure under anesthesia with assistance in a hospital, potentially with microsurgery, to repair or modify the meniscus, capsule, and condyle for function restoration. This is indicated for comprehensive TMJ damage, critical where joint health affects maxillofacial movement.

Reasons include:

  • Severe arthritis: Damaged condyle and meniscus need surgery.
  • Ankylosis: Fused joint requires condylar work.
  • Deformity: Condylar issues limit motion.
  • Function: Restores chewing or speech.

For instance, a patient with TMJ arthritis might need this to repair all components, with microsurgery for precision. In aged care, an elderly patient could benefit for pain, given frailty. By addressing all joint parts, this service restores function, relieves pain, and corrects damage, making it a critical maxillofacial procedure.

Benefits to the patient

Restores comprehensive TMJ function, relieves severe pain, and corrects damage.

Recovery considerations

Recovery of 6-10 weeks with swelling, therapy, and restricted motion; hospital stay required.

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