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53412 - Zygomatic Fracture Fixation (1 Site)

MBS service description:

Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at one site (H) (Anaes.) (Assist.)
Schedule Fee:
446.7
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 28, 2025

When is item code 53412 (Zygomatic Fracture Fixation (1 Site)) typically used?

The need for treatment of a zygomatic bone fracture requiring surgical reduction and fixation at one site arises when a patient has a displaced zygomatic fracture—often from trauma—causing instability or deformity, necessitating surgical repositioning and stabilisation under anesthesia with assistance in a hospital using internal or external fixation at a single site. This is indicated for moderately complex fractures, critical where cheekbone stability affects maxillofacial function and aesthetics.

Specific scenarios include:

  • Trauma: A displaced zygoma needs reduction and screws.
  • Instability: Loose bone requires fixation.
  • Deformity: Sunken cheek needs alignment.
  • Function: Restores facial support.

For example, a patient with a zygomatic fracture might need reduction and internal fixation for stability, with assistance for precision. In aged care, an elderly patient could benefit for appearance, given frailty. By reducing and fixing the fracture, this service restores structure, enhances function, and prevents deformity, making it a key maxillofacial procedure.

Benefits to the patient

Stabilises zygomatic fracture, restores contour, and improves function.

Recovery considerations

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

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