Mandibular & Maxillary Care

Jaw Cancer Surgery & 3D Bone Reconstruction

Expert surgical management of malignant and benign jaw tumors (Ameloblastoma). We perform precise bone resections followed by immediate microvascular Free Fibula Flap (FFOCF) reconstruction to restore your facial structure perfectly.

Dr Manish Tiwari Jaw Cancer Surgeon

Loose Teeth

Sudden or unexplained loosening of teeth without gum disease.

Jaw Swelling

A visible, hard lump or swelling on the upper or lower jawbone.

Facial Numbness

Numbness in the lip, chin, or teeth indicating nerve involvement.

Dentures Not Fitting

A sudden change in how your dentures or oral appliances fit.

Surgical Expertise

Types of Jaw Resections

Dr. Tiwari utilizes highly precise oncological protocols to remove the tumor. The extent of bone removal depends strictly on the depth of the cancer invasion.

Marginal Mandibulectomy

Performed when the cancer touches the jawbone but has not deeply invaded the marrow. Only the top rim of the lower jaw is "shaved" away.

  • Preserves the structural continuity of the jaw
  • Faster recovery time
  • Usually does not require major bone flaps

Segmental Mandibulectomy

Required when the tumor heavily invades the lower jaw (T4a tumors). A full segment of the bone must be completely removed to achieve safe margins.

  • Aggressive clearance of bone malignancies
  • Used for advanced cancers & Ameloblastoma
  • Demands immediate Free Fibula reconstruction

Maxillectomy

Surgical removal of a portion or all of the upper jaw (maxilla). This is performed for tumors affecting the hard palate or nasal cavity floor.

  • Removes deep-seated upper jaw tumors
  • Reconstruction restores speech resonance
  • Prevents communication between mouth and nose
The Protocol

Eradication & 3D Bone Reconstruction

Removing a section of the jaw alters facial structure and chewing ability. Dr. Tiwari is a master at instantly rebuilding the facial skeleton.

01

Bone Resection

Complete surgical excision of the diseased bone. For cancers, neck lymph nodes are also cleared simultaneously.

02

Free Fibula Flap (FFOCF)

A section of bone is taken from your lower leg (fibula) along with its blood vessels. Using microvascular surgery under a microscope, it is connected to the neck vessels.

03

3D Sculpting & Dental Prep

The new leg bone is precisely sculpted with titanium plates to match your original jaw curve, laying the foundation for future dental implants.

Microvascular Free Fibula Reconstruction

Diagnosis & Recovery

Radiological Protocol

Detailed imaging is required to plan the exact cuts on the bone before surgery.

  • OPG (Orthopantomogram): Initial panoramic view of the jaw.
  • CT Face / CECT: Shows the exact extent of bone destruction.
  • Bone Biopsy: To confirm if it is cancer or a benign cyst/tumor.

Post-Operative Rehabilitation

We ensure your jaw heals correctly to support normal chewing and facial symmetry.

  • Dental Implants: Reconstructed bone allows for future teeth replacement.
  • Dietary Transition: Moving from liquid to soft, then normal diet safely.
  • Flap Monitoring: Intense post-op ICU care to ensure the new bone survives.