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53413 - Zygomatic Fracture Fixation (2 Sites)

MBS service description:

Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (H) (Anaes.) (Assist.)
Schedule Fee:
547.25
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 28, 2025

When is item code 53413 (Zygomatic Fracture Fixation (2 Sites)) typically used?

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

Reasons include:

  • Severe trauma: A major blow displaces the zygoma, needing dual fixation.
  • Instability: Multiple fracture points require screws or pins.
  • Deformity: Severe cheek collapse needs alignment.
  • Function: Restores eye or jaw support.

For instance, a patient with a shattered zygoma might need reduction and fixation at two sites for stability, with assistance for precision. In aged care, an elderly patient could benefit for function, given frailty. By reducing and fixing at two sites, this service restores structure, enhances stability, and prevents deformity, making it a critical maxillofacial procedure.

Benefits to the patient

Restores complex zygomatic stability, improves contour, and enhances function.

Recovery considerations

Recovery of 6-8 weeks with swelling and fixation care; hospital stay required.

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