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53416 - Mandible Fracture Open Reduction

MBS service description:

Mandible, treatment of fracture of, requiring open reduction (H) (Anaes.) (Assist.)
Schedule Fee:
496.35
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 28, 2025

When is item code 53416 (Mandible Fracture Open Reduction) typically used?

The need for treatment of a mandibular fracture requiring open reduction arises when a patient sustains a displaced or unstable mandibular fracture—typically from trauma such as a sports injury or assault—resulting in jaw misalignment, pain, or chewing difficulty, necessitating surgical exposure under anesthesia with assistance in a hospital to manually reposition the bone without additional fixation if stability is achieved post-reduction. This procedure is indicated for moderately complex mandibular fractures manageable by reduction alone, critical in the maxillofacial region where jaw alignment affects occlusion, speech, and function.

Several scenarios highlight the necessity of this intervention:

  • Traumatic displacement: A blow to the jaw might shift the mandible, requiring open reduction to realign it and restore bite without needing plates if stable.
  • Malocclusion: A misaligned jaw from the fracture could prevent proper tooth closure, needing surgical repositioning to correct occlusion.
  • Painful instability: A displaced fracture causing severe discomfort might require open surgery to reposition and stabilize it naturally.
  • Facial asymmetry: A shifted mandible altering the jawline could prompt reduction to restore symmetry and function.

For example, a patient with a mandibular fracture from a fight might undergo open reduction to align a displaced segment and relieve pain, with the assistant ensuring accurate bone positioning. In an aged care setting, an elderly patient with a mandibular injury from a fall could benefit from this to regain chewing ability, adjusted for their frailty and bone quality. By surgically exposing and repositioning the mandible, this service restores jaw alignment, improves function, and alleviates pain, making it an effective procedure for mandibular fractures requiring direct intervention within the maxillofacial framework.

Benefits to the patient

Restores mandibular alignment, improves jaw function, and relieves pain.

Recovery considerations

Recovery of 4-6 weeks with swelling, soft diet, and restricted motion; hospital stay required.

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