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53242 - TMJ External Fixation

MBS service description:

Temporomandibular joint or joints, application of external fixator to, other than for treatment of fractures (H) (Anaes.) (Assist.)
Schedule Fee:
355.8
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 28, 2025

When is item code 53242 (TMJ External Fixation) typically used?

The need for application of an external fixator to the temporomandibular joint (TMJ) arises when a patient requires temporary joint stabilisation—often for severe instability or post-surgical support—not related to fractures, necessitating an external device under anesthesia with assistance in a hospital to hold the joint in place. This is indicated for non-fracture TMJ issues, critical where stability affects maxillofacial function.

Reasons include:

  • Instability: Chronic dislocation needs external support.
  • Post-surgery: Stabilises joint after repair.
  • Pain: Temporary fixation reduces discomfort.
  • Function: Supports healing without fracture.

For instance, a patient with severe TMJ instability might need this for stability, with assistance for precision. In aged care, an elderly patient could benefit post-surgery, given frailty. By applying the fixator, this service stabilises the joint, enhances healing, and relieves pain, making it a specialised maxillofacial procedure.

Benefits to the patient

Stabilises TMJ temporarily, supports healing, and reduces pain.

Recovery considerations

Recovery of 4-6 weeks with fixator care and restricted motion; hospital stay required.

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