Time-Critical Treatment

Buccal Mucosa (Cheek) Cancer Surgery

Expert surgical eradication of cheek malignancies, from early-stage excisions to advanced Compartmental Clearance for T4b tumors, followed by flawless microvascular reconstruction.

Dr Manish Tiwari Buccal Mucosa Cancer Surgeon

Cheek Ulcers

Painful or bleeding sores on the inside of the cheek that refuse to heal.

Trismus (Locked Jaw)

Progressive difficulty in opening the mouth, indicating muscle involvement.

White/Red Patches

Pre-cancerous Leukoplakia or Erythroplakia forming on the inner cheek lining.

Facial Swelling

A visible or palpable lump extending to the outer cheek or neck nodes.

Surgical Expertise

Advanced Resection Techniques

Buccal mucosa cancers (Gingivobuccal complex) are highly aggressive. Dr. Tiwari utilizes specific, tailored protocols to ensure clear surgical margins.

Wide Local Excision

Standard protocol for early-stage (T1/T2) cheek cancers. The lesion is meticulously excised along with a safe margin of healthy tissue to prevent recurrence.

  • High cure rates for localized tumors
  • Local flap reconstruction used if needed
  • Faster recovery and minimal aesthetic impact

Compartmental Clearance (T4b)

A highly specialized, aggressive surgery for advanced tumors invading the jaw bone or masticator space (Infratemporal Fossa). Dr. Tiwari is a published expert in this exact procedure.

  • Complete clearance of the ITF compartment
  • Mandibulectomy (jaw removal) if bone is invaded
  • Requires extensive Free Flap reconstruction
The Protocol

Eradication & Reconstruction

Removing cheek cancer creates significant soft tissue and bone defects. We seamlessly rebuild your face in the exact same surgical sitting.

01

Primary Tumor Resection

Complete surgical excision of the buccal mucosa tumor. If the cancer has reached the jaw, a segmental mandibulectomy is performed.

02

Neck Node Dissection

Cheek cancers aggressively metastasize to the neck. Lymph nodes are systematically cleared to eliminate microscopic spread.

03

Microvascular Free Flap

We utilize ALT (Thigh) Flaps to rebuild massive cheek defects. If the jaw is removed, a Free Fibula Flap (FFOCF) is used to reconstruct the bone structure perfectly.

Buccal Mucosa Cancer Reconstruction

Diagnosis & Recovery

Diagnostic Protocol

Determining the depth of the cheek invasion dictates the surgical margins.

  • Incisional Biopsy: To confirm pathology.
  • MRI Face/Neck: Crucial for checking masticator space and muscle invasion.
  • PET-CT Scan: Comprehensive systemic staging.

Post-Operative Rehabilitation

Our team focuses on regaining your facial mobility and aesthetic dignity.

  • Jaw Exercises: Active routines to prevent Trismus (locked jaw) post-surgery.
  • Swallow Therapy: Safe transition to a normal diet.
  • Oncology Surveillance: Regular monitoring for recurrence.