I have a mandibulectomy with modified neck dissection,removal of left floor of mouth and small amount of tongue approaching,followed by rads.
Surgeons using fibula free flap and want to leave trach in during rad tx which seems contra to most protocals. Also do not want anything in my mouth for 3 weeks, bed rest 5 days, hospital 2 weeks and pull all my perfectly good front teeth because they are making mandible cut past the canine and they tell me those front teeth will fall out. Anyone had this protocal? Also, any tips while in the hospital?


Stage 4 mandibular/alveolar ridge/lateral tongue Oct 2012. Left mandibulectomy,partial glossectomy and reconstruction of floor of mouth,mandible.
Now have positive anterior margin of bone and some positive margins of soft tissue.