Surgical approaches to the oral cavity

Abstract

The surgical managements concerning oral cancer are described in this chapter. At first, the principles of surgical treatment of oral cancer are commented. Then, when performing surgical therapy, the standard of the safety margin of oral cancer is commented. Furthermore, vital staining with iodine solution for determining of the safety margin is described. The surgical method is commented every each part of the oral cavity, because the oral cavity is divided into six sites. At first, the anatomical features for surgical approaches are described. Then, the surgical method in each part (tongue, oral floor, buccal mucosa, upper and lower gingiva, and hard palate) is explained using the figure. About the indication of the operation method in each part, the selection criteria for the surgical method that followed TNM classification are commented. Finally, the points to note when performing surgical resection of tumor are described. In addition, the basic approaches for oral cancer are described about squamous cell carcinoma mainly.