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The procedure described by CPT® Code 21206 involves a segmental osteotomy of the maxilla, which is a surgical intervention aimed at correcting localized deformities of the upper jawbone. This procedure is particularly relevant for patients who may have structural abnormalities affecting their maxilla, which can impact both function and aesthetics. The term "segmental osteotomy" refers to the surgical technique where a specific segment of the bone is cut and repositioned to achieve the desired alignment and shape. Techniques such as the Wassmund or Schuchardt methods are commonly employed, which involve precise incisions and careful manipulation of the bone. During the procedure, the surgeon makes an incision over the area of the deformity, allowing access to the underlying bone. The surrounding soft tissue is then reflected to expose the maxilla, and specialized instruments such as saws, drills, and osteotomes are utilized to remove the deformed segment of bone. After the segment is excised, the maxilla is stabilized using various fixation methods, including wires, screws, metal plates, or an acrylic splint, ensuring that the bone remains in the correct position during the healing process. The procedure concludes with the closure of all incisions, marking the completion of the surgical intervention.
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