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53439 - Mandible Closed Joint Fracture Treatment

MBS service description:

MANDIBLE, treatment of a closed fracture of, involving a joint surface (Anaes.)
Schedule Fee:
272.05
@85% Benefit Fee:
231.25
@75% Benefit Fee:
231.25
Last updated on
March 28, 2025

When is item code 53439 (Mandible Closed Joint Fracture Treatment) typically used?

The need for treatment of a closed mandibular fracture involving a joint surface arises when a patient sustains a non-displaced mandibular fracture—typically from trauma—affecting the TMJ’s articular surface, causing pain or limited motion but not requiring open surgery, necessitating management under anesthesia to ensure proper healing and joint function. This procedure is indicated for closed fractures impacting the TMJ, critical in the maxillofacial region where joint integrity affects jaw movement.

Specific conditions driving this need include:

  • Minor trauma: A blow causes a stable joint surface crack.
  • Pain: Joint discomfort needs monitoring.
  • Motion limitation: Slight restriction prompts treatment.
  • Function: Maintains chewing without surgery.

For instance, a patient with a TMJ surface fracture from a bump might need this for healing, managed under anesthesia. In aged care, an elderly patient could benefit with minimal intervention, given frailty. By treating the closed fracture, this service ensures healing, relieves pain, and maintains function, making it a practical maxillofacial solution.

Benefits to the patient

Ensures TMJ healing, relieves pain, and maintains jaw function simply.

Recovery considerations

Recovery of 4-6 weeks with swelling and restricted motion; typically outpatient with anesthesia.

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