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53459 - Nasal Bone Fracture Reduction

MBS service description:

NASAL BONES, treatment of fracture of, by reduction (Anaes.)
Schedule Fee:
268.25
@85% Benefit Fee:
228.05
@75% Benefit Fee:
228.05
Last updated on
March 28, 2025

When is item code 53459 (Nasal Bone Fracture Reduction) typically used?

The need for treatment of a nasal bone fracture by reduction arises when a patient sustains a displaced nasal fracture—typically from moderate trauma like a sports injury—causing visible deformity, nasal obstruction, or pain, requiring manual repositioning under anesthesia to restore alignment and function without open surgery. This procedure is indicated for displaced but manageable nasal fractures, critical in the maxillofacial region where nasal structure affects breathing and facial aesthetics.

Specific conditions driving this need include:

  • Moderate trauma: A hit to the nose might displace the bones, needing reduction to straighten them.
  • Deformity: A crooked nose affects appearance, prompting repositioning.
  • Nasal obstruction: Blocked airflow from misalignment requires correction.
  • Pain: Discomfort from displacement needs relief.

For instance, a patient with a nasal fracture from a soccer ball might undergo reduction under anesthesia to realign the nose and restore breathing, performed outpatient. In an aged care context, an elderly patient with a displaced nasal fracture from a fall could benefit from this to improve airflow, adjusted for their frailty. By manually reducing the fracture, this service restores nasal alignment, relieves symptoms, and enhances aesthetics, making it an effective non-surgical solution for nasal fractures within the maxillofacial framework.

Benefits to the patient

Restores nasal alignment, improves breathing, and corrects deformity.

Recovery considerations

Recovery of 2-4 weeks with swelling, nasal care, and restricted activity; typically outpatient with anesthesia.

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