Mouth Cancer Surgery

Mouth Cancer Surgery: Everything You Need to Know

Mouth cancer, also known as oral cancer, is one of the most common cancers in India. It usually affects the lips, tongue, inner cheeks, gums, floor of the mouth and palate. When detected early, mouth cancer is highly treatable through surgical intervention.

What is Mouth Cancer Surgery?

Mouth cancer surgery involves the removal of cancerous tissue from the oral cavity along with a margin of healthy tissue to ensure complete elimination of cancer cells. In advanced cases, nearby lymph nodes in the neck may also be removed.

The goal of surgery is to cure cancer while preserving essential functions like speech, chewing and swallowing.

Common Causes of Mouth Cancer

Some major risk factors include:

  • Tobacco use (smoking, chewing, gutkha, pan masala)

  • Alcohol consumption

  • Poor oral hygiene

  • Chronic mouth irritation

  • HPV infection

  • Sun exposure (lip cancer)

Avoiding tobacco is the single most effective preventive measure.

Early Symptoms of Mouth Cancer

Many patients ignore early signs. Common symptoms include:

  • Non-healing mouth ulcers

  • White or red patches inside mouth

  • Pain while chewing

  • Difficulty in speaking

  • Bleeding from mouth

  • Lump in neck

  • Loose teeth without dental cause

Early diagnosis significantly improves survival.

Types of Mouth Cancer Surgery

Depending on the stage, surgery may include:

1. Local Excision

Removal of small tumors limited to one area.

2. Partial Glossectomy

Removal of part of the tongue.

3. Mandibulectomy / Maxillectomy

Removal of part of jawbone or upper jaw.

4. Neck Dissection

Removal of lymph nodes in the neck to prevent spread.

5. Reconstructive Surgery

Rebuilding removed tissues using skin, muscle or bone grafts.

Reconstructive Surgery After Mouth Cancer

Modern surgery focuses on restoring both function and appearance using:

  • Microvascular free flap surgery

  • Tissue grafts from leg, arm or chest

  • Dental implants

  • Speech rehabilitation techniques

These methods allow patients to speak and eat normally again.

Recovery After Surgery

Recovery depends on surgery type but usually includes:

  • Hospital stay: 5–10 days

  • Temporary feeding tube (in some cases)

  • Speech and swallowing therapy

  • Pain management

  • Regular follow-up visits

Most patients gradually return to normal activities.

Success Rate of Mouth Cancer Surgery

If detected early:

  • Cure rate: 80–90%
    In advanced stages:

  • Combined therapy (surgery + radiation + chemo) improves outcomes.

When Should You Consult a Specialist?

Immediately consult a cancer surgeon if you have:

  • Mouth ulcer > 2 weeks

  • Any unexplained oral lump

  • Persistent pain or bleeding

Early action saves lives.

Final Words

Mouth cancer surgery today is highly advanced and safe. With timely treatment, patients not only survive but regain full quality of life. The key lies in early diagnosis, expert surgical care and proper rehabilitation.

If you notice any suspicious symptoms, do not delay — consult a specialist and get evaluated.