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53458 - Nasal Bone Fracture Treatment

MBS service description:

NASAL BONES, treatment of fracture of, not being a service to which item 53459 or 53460 applies
Schedule Fee:
49.05
@85% Benefit Fee:
41.7
@75% Benefit Fee:
41.7
Last updated on
March 28, 2025

When is item code 53458 (Nasal Bone Fracture Treatment) typically used?

The need for treatment of a nasal bone fracture not requiring services under items 53459 or 53460 arises when a patient sustains a minor nasal fracture—often from low-impact trauma like a minor bump—causing pain, swelling, or slight deformity but remaining stable and aligned, requiring non-surgical management under observation to ensure proper healing. This procedure is indicated for simple nasal fractures not needing advanced intervention, critical in the maxillofacial region where nasal structure affects breathing and aesthetics.

Several scenarios highlight the necessity of this intervention:

  • Minor trauma: A light tap to the nose might cause a stable crack, needing only monitoring and symptom management.
  • Pain: Nasal discomfort requires observation to ensure resolution without intervention.
  • Slight swelling: Minor bruising or deformity heals naturally without surgical correction.
  • Breathing function: Maintains airflow if alignment is intact.

For example, a patient with a nasal fracture from a playful shove might need this simple treatment to heal, managed outpatient without anesthesia. In an aged care setting, an elderly patient with a minor nasal injury from a stumble could benefit from this to avoid unnecessary procedures, given their frailty. By managing the fracture non-surgically, this service ensures healing, relieves pain, and maintains nasal function and appearance, making it a practical solution for uncomplicated nasal fractures within the maxillofacial framework.

Benefits to the patient

Ensures nasal healing, relieves pain, and maintains breathing and aesthetics simply.

Recovery considerations

Recovery of 2-4 weeks with swelling and nasal care; typically outpatient.

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