Mandibulectomy: A Critical Procedure for Oral Cavity Cancer

Oral cavity cancer is a formidable opponent, but with advancements in oncosurgical procedures, patients have a fighting chance. One such advanced procedure is the mandibulectomy, a surgical intervention targeting the mandible or jawbone. Dr. Yash Chaddha, a renowned Head & Neck Oncosurgeon specializing in surgical oncology and robotics at NHMMI Narayana Superspeciality Hospital in Raipur, Chhattisgarh, offers expert care in this domain. He also provides consultations at Metro Balaji Hospital in Raigarh on the 1st and 3rd Saturdays of each month.

Understanding Mandibulectomy

Mandibulectomy is a surgical procedure aimed at removing a segment of the mandible affected by cancer. It is primarily indicated for patients with oral cavity cancer that has infiltrated the jawbone. The surgery can be classified into two main types: Morghal mandibulectomy and Hemi-mandibulectomy. Each type is tailored to the extent and location of the cancerous lesion.

Morghal Mandibulectomy

Morghal mandibulectomy involves the resection of a localized segment of the mandible. This technique is typically employed when the cancer is confined to a small portion of the jawbone, allowing for a more conservative approach. The procedure begins with a detailed evaluation, including imaging studies such as CT scans and MRIs to map the extent of the cancer. Dr. Chaddha's expertise ensures that the surgery is meticulously planned, minimizing damage to surrounding tissues and preserving as much of the healthy jawbone as possible.

The surgical process involves making an incision in the oral mucosa to expose the affected segment of the mandible. The cancerous portion is then carefully excised. Post-surgery, reconstruction is often necessary to restore functionality and aesthetics. This may involve the use of bone grafts or reconstructive plates. Dr. Chaddha employs advanced techniques and robotic assistance to enhance precision and outcomes.

Hemi-Mandibulectomy

Hemi-mandibulectomy is a more extensive procedure where one half of the mandible is removed. This is indicated for cases where the cancer has spread to a larger portion of the jawbone and cannot be addressed with a more conservative approach. Preoperative planning for a hemi-mandibulectomy is crucial, involving comprehensive imaging and sometimes biopsy to determine the exact extent of cancer invasion.

During the surgery, an incision is made to access the affected side of the mandible. The entire half of the jawbone is then removed, often necessitating more complex reconstruction efforts. Dr. Chaddha's proficiency in using cutting-edge robotic systems allows for enhanced precision during such intricate procedures. Reconstruction may involve microvascular free flaps, where tissue from another part of the body is transplanted to the jaw area to restore both function and appearance.

Postoperative Care and Recovery

Recovery from a mandibulectomy, whether Morghal or Hemi, involves a multidisciplinary approach. Postoperative care includes pain management, nutritional support, and physical therapy to aid in the recovery of jaw functions such as chewing and speaking. Dr. Chaddha and his team provide comprehensive postoperative care, ensuring that patients receive the support they need during their recovery journey.

Rehabilitation is a critical component, and speech and swallowing therapy may be necessary to regain normal functions. Regular follow-up appointments are essential to monitor healing and to detect any signs of recurrence early. Dr. Chaddha emphasizes the importance of a holistic approach, addressing both the physical and emotional well-being of his patients.

Why Choose Dr. Yash Chaddha?

Dr. Yash Chaddha's dedication to excellence in head and neck oncology is reflected in his meticulous surgical techniques and compassionate patient care. His extensive experience in oncosurgical procedures, coupled with his expertise in robotic-assisted surgeries, positions him as a leading authority in the field. Patients at NHMMI Narayana Superspeciality Hospital benefit from state-of-the-art facilities and a team committed to delivering the highest standard of care.

Moreover, Dr. Chaddha's availability at Metro Balaji Hospital in Raigarh on the 1st and 3rd Saturdays ensures that patients in Chhattisgarh have access to his specialized services. His commitment to patient education and empowerment is evident in his approach, ensuring that patients are well-informed and involved in their treatment decisions.

Conclusion

Mandibulectomy, whether Morghal or Hemi, is a critical procedure in the battle against oral cavity cancer. With the expertise of Dr. Yash Chaddha at NHMMI Narayana Superspeciality Hospital, patients can be assured of receiving top-notch surgical care. His innovative approach, combined with a comprehensive support system, ensures that patients not only fight cancer effectively but also regain their quality of life post-surgery. For consultations, Dr. Chaddha's presence at Metro Balaji Hospital in Raigarh provides additional accessibility for patients seeking expert care in Chhattisgarh.