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53406 - Maxilla Fracture Treatment with Splinting

MBS service description:

Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (H) (Anaes.) (Assist.)
Schedule Fee:
463.2
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 28, 2025

When is item code 53406 (Maxilla Fracture Treatment with Splinting) typically used?

The need for treatment of a maxillary fracture requiring splinting, wiring of teeth, circumosseous fixation, or external fixation arises when a patient sustains a significant maxillary fracture—often from high-impact trauma—causing instability, misalignment, or displacement, necessitating surgical stabilisation under anesthesia with assistance in a hospital using methods like dental wiring or external devices to ensure proper healing. This is indicated for complex maxillary fractures, critical where bone stability affects maxillofacial function and aesthetics.

Specific scenarios include:

  • Severe trauma: A car accident fractures the maxilla, needing wiring.
  • Instability: Loose bone requires splinting.
  • Alignment: Displacement needs circumosseous fixation.
  • Function: Restores chewing and facial structure.

For example, a patient with a shattered maxilla might need wiring and external fixation for stability, with assistance for precision. In aged care, an elderly patient could benefit for function, given frailty. By stabilising the fracture, this service ensures healing, restores function, and prevents deformity, making it a key maxillofacial procedure.

Benefits to the patient

Stabilises maxillary fracture, restores function, and prevents deformity.

Recovery considerations

Recovery of 6-8 weeks with swelling, wired jaws, and soft diet; hospital stay required.

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