Time-Critical Treatment

Tongue Cancer Surgery & Reconstruction

Advanced surgical eradication of tongue malignancies (Glossectomy) followed by immediate microvascular free flap reconstruction to preserve your speech and swallowing.

Dr Manish Tiwari Tongue Cancer Surgeon

Persistent Ulcers

Painful or painless ulcers on the tongue not healing after 2-3 weeks.

White/Red Patches

Leukoplakia or Erythroplakia developing on the sides or base of the tongue.

Difficulty Swallowing

Pain while chewing, swallowing, or restricted tongue movement.

Neck Nodes

A persistent lump or swollen lymph node in the neck area.

Surgical Expertise

Types of Glossectomy

The surgical approach is strictly tailored to the tumor's size, depth, and location. Our goal is complete eradication (negative margins) with maximum functional preservation.

Partial Glossectomy

Performed for early-stage (T1 or T2) tongue cancers. A specific, small portion of the tongue containing the tumor is surgically removed.

  • High cure rates for early detection
  • Minimal impact on speech and swallowing
  • Often closed primarily without major flaps

Near Total / Total Glossectomy

Required for advanced-stage (T3 or T4) malignancies covering more than half of the tongue. This is a complex, life-saving procedure.

  • Aggressive clearance of the malignancy
  • Requires immediate Free Flap reconstruction
  • Intensive post-operative speech therapy
The Protocol

Eradication & Reconstruction

Dr. Tiwari's dual-focus approach ensures the cancer is cured while your quality of life is actively preserved during the exact same surgery.

01

Tumor Resection (Glossectomy)

Complete surgical excision of the tumor with clear margins, ensuring no cancer cells are left behind.

02

Neck Dissection

Tongue cancer frequently spreads to neck lymph nodes. We perform a prophylactic or therapeutic neck dissection to remove these high-risk nodes.

03

Microvascular Free Flap

In the same sitting, we perform Radial Forearm (RAFF) or ALT Flap surgery. Tissue is taken from your arm or thigh and connected to blood vessels in the neck to rebuild the tongue perfectly.

Microvascular Reconstruction Surgery

Diagnosis & Recovery

Diagnostic Protocol

Accurate staging dictates the extent of the glossectomy.

  • Incisional Biopsy: To confirm malignancy.
  • MRI Face/Neck: To assess depth of invasion.
  • PET-CT Scan: To rule out distant metastasis.

Post-Operative Rehabilitation

We do not leave you after surgery. Our team ensures comprehensive functional recovery.

  • Speech Therapy: Retraining articulation.
  • Swallow Therapy: Restoring normal diet.
  • Close Surveillance: Routine oncology follow-ups.