CPT® Code 21180

1. Indications

The procedure described by CPT® Code 21180 is indicated for the correction of skeletal deformities affecting the forehead and/or supraorbital rims. These deformities may arise from various conditions, including congenital anomalies, trauma, or other pathological changes that affect the structure and appearance of the facial bones.

• Skeletal Deformities Conditions that result in abnormal bone structure or alignment in the forehead and supraorbital regions.
• Trauma Injuries that have caused fractures or displacements in the forehead or supraorbital areas.
• Congenital Anomalies Birth defects that affect the development of the facial bones, leading to aesthetic and functional concerns.

2. Procedure

The procedure begins with the patient being placed under general anesthesia to ensure comfort and immobility during the surgery. The surgeon then makes incisions in strategic locations, which may include the eyelid and scalp, to gain access to the underlying bone structures of the forehead and supraorbital rims.

• Incision Creation The surgeon creates incisions in the eyelid and scalp to access the surgical site effectively.
• Bone Reshaping and Repositioning Once access is achieved, the surgeon carefully reshapes and repositions the bones to restore their proper anatomical alignment.
• Insertion of Autografts Autografts, harvested from the patient's own body, are inserted into the desired locations to augment the forehead or supraorbital rims.
• Use of Fixation Devices Fixation devices such as wires, plates, and screws may be utilized to maintain the proper shape and stability of the facial bones during the healing process.
• Closure of Incisions After the reconstruction is complete, the incisions made during the procedure are meticulously closed to promote healing and minimize scarring.

3. Post-Procedure

Post-procedure care involves monitoring the patient for any complications and ensuring proper healing of the surgical site. Patients may experience swelling, bruising, and discomfort in the initial recovery phase, which can be managed with prescribed pain medications. Follow-up appointments are essential to assess the healing process and the effectiveness of the reconstruction. Patients are advised to avoid strenuous activities and follow specific care instructions to promote optimal recovery. Additionally, the surgeon may provide guidelines on wound care and signs of potential complications that should be reported immediately.