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Head & Neck Cancer

Common Surgeries for Head & Neck Cancer

Head and neck cancer surgery is performed to remove cancer while preserving important functions such as speech, swallowing, breathing, and appearance.

Common Surgeries for Head & Neck Cancer

Head and neck cancer surgery is performed to remove cancer while preserving important functions such as speech, swallowing, breathing, and appearance. The type of surgery depends on the location, size, stage of the tumor, and whether lymph nodes are involved.

Wide Local Excision

Wide local excision is one of the most commonly performed surgeries for early head and neck cancers, especially cancers of the oral cavity such as the tongue, cheek, gums, and floor of the mouth.

Procedure:
  • The tumor is removed along with a margin of normal healthy tissue around it.
  • The removed tissue is examined to ensure complete cancer clearance.
Commonly Used For:
  • Tongue cancer
  • Buccal mucosa (cheek) cancer
  • Lip cancer
  • Floor of mouth cancer
Advantages:
  • Effective cancer removal
  • Preserves surrounding structures when detected early
  • Faster recovery in smaller tumors

Partial Glossectomy

A partial glossectomy involves removal of a portion of the tongue affected by cancer.

Procedure:
  • Only the cancerous part of the tongue is removed.
  • Reconstruction may be required in larger defects
Indications:
  • Early and moderately advanced tongue cancers
Goals:
  • Complete tumor removal
  • Preservation of speech and swallowing as much as possible
Recovery:
  • Temporary difficulty in speech and swallowing may occur
  • Speech and swallowing therapy may help rehabilitation

Hemiglossectomy / Total Glossectomy

Performed for advanced tongue cancers.

Hemiglossectomy:
  • Removal of one side of the tongue
Total Glossectomy:
  • Removal of the entire tongue in extensive disease
Reconstruction:
  • Microvascular free flap reconstruction is commonly used to restore tongue bulk and function.
Purpose:
  • Achieve complete cancer clearance in advanced tumors

Neck Dissection

Head and neck cancers commonly spread to lymph nodes in the neck. Neck dissection is performed to remove these lymph nodes.

Types of Neck Dissection:
Selective Neck Dissection
  • Only selected lymph node groups are removed
  • Preserves muscles, nerves, and veins
Modified Radical Neck Dissection
  • Most lymph nodes are removed while preserving important neck structures
Commonly Recommended When:
  • Lymph nodes are enlarged
  • Cancer has spread to neck nodes
  • High-risk oral cancers
Benefits:
  • Helps control regional spread of disease
  • Improves staging and treatment planning

Mandibulectomy

Mandibulectomy is performed when oral cancer involves the jawbone (mandible).

Types:
Marginal Mandibulectomy
  • Only part of the jawbone thickness is removed
Segmental Mandibulectomy
  • A full segment of jawbone is removed in advanced disease
Reconstruction:
  • Bone reconstruction may be performed using fibula free flap or titanium plates.
Commonly Used For:
  • Advanced oral cavity cancers involving the lower jaw

Maxillectomy

Maxillectomy involves removal of part or all of the upper jaw (maxilla).

Indications:
  • Hard palate cancers
  • Maxillary sinus tumors
  • Advanced upper oral cavity tumors
Reconstruction:
  • Obturators or reconstructive flaps may be used to restore speech and swallowing.

Laryngectomy

Performed for cancers of the voice box (larynx).

Partial Laryngectomy
  • Removes only part of the larynx
  • Speech may be preserved
Total Laryngectomy
  • Entire voice box is removed
  • Breathing occurs through a permanent opening in the neck (stoma)
Indications:
  • Advanced laryngeal cancers
  • Recurrent cancers after radiation therapy
Rehabilitation:
  • Voice rehabilitation using speech prosthesis or voice therapy

Tracheostomy

A tracheostomy is a surgical opening created in the neck to help breathing.

Performed When:
  • Tumor causes airway obstruction
  • Major surgery requires airway protection
May Be:
  • Temporary
  • Permanent in selected patients

Reconstructive Surgery

After removal of large tumors, reconstructive surgery helps restore appearance and function.

Common Reconstruction Techniques:
  • Free flap reconstruction
  • Local and regional flaps
  • Skin grafts
Goals:
  • Improve speech and swallowing
  • Restore facial contour
  • Enhance quality of life