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53460 - Nasal Bone Open Reduction with Osteotomies

MBS service description:

Nasal bones, treatment of fractures of, by open reduction involving osteotomies (H) (Anaes.) (Assist.)
Schedule Fee:
547.25
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 28, 2025

When is item code 53460 (Nasal Bone Open Reduction with Osteotomies) typically used?

The need for treatment of nasal bone fractures by open reduction involving osteotomies arises when a patient sustains complex, severely displaced nasal fractures—often from significant trauma like a car crash—causing major deformity, nasal obstruction, or structural instability, necessitating surgical exposure under anesthesia with assistance in a hospital, including osteotomies (bone cutting) to reposition and stabilise the nasal bones. This procedure is indicated for intricate nasal fractures requiring precise surgical correction, critical in the maxillofacial region where nasal alignment affects breathing and facial aesthetics.

Several scenarios necessitate this intervention:

  • Severe trauma: A high-impact injury shattering the nasal bones might require osteotomies to realign multiple fragments and restore the nasal bridge.
  • Gross deformity: A severely crooked or flattened nose could impair appearance and confidence, needing open surgery to reshape and reposition.
  • Nasal obstruction: Significant displacement blocking airflow might necessitate cutting and repositioning to clear the nasal passages.
  • Structural collapse: Unstable nasal bones from multiple breaks could collapse without surgical intervention, requiring osteotomies for stability.

For example, a patient with a shattered nasal structure from a fall might undergo open reduction with osteotomies to reconstruct the nose and restore breathing, with the assistant aiding in precise bone cutting. In an aged care setting, an elderly patient with a complex nasal fracture could benefit from this to improve airflow and appearance, adjusted for their frailty and healing capacity. By surgically exposing, cutting, and repositioning the nasal bones, this service restores nasal function, corrects severe deformity, and enhances aesthetics, making it an advanced solution for complicated nasal fractures within the maxillofacial framework.

Benefits to the patient

Restores complex nasal structure, improves breathing, and corrects severe deformity.

Recovery considerations

Recovery of 4-6 weeks with swelling, nasal splinting, and restricted activity; hospital stay required.

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