Brian thanks for the response.The doctor who did the surgery is my mother's 2nd ENT. The ENT who performed my mother's neck resection sent her to another when the surgery required this time was so extensive. I think her doctor is one of the best around, but still a surgeon may see surgery as a solution to everything. I will take your advice and we will talk to a maxilofacial prosthodontist before pursuing more surgery. God knows she doesn't want to spend the remainder of her life in the hospital, and it certainly isn't a vanity issue. At this point with her diet being so restricted, and eating being such a chore, this just adds more to her already significant problems. Thanks again for your help and this forum.