Surgery has been the first line of treatment for oral cavity cancer. After appropriate workup, the decision to include an ipsilateral or bilateral neck dissection is made. The patient presented here was diagnosed with a posterior maxillary alveolar tumor. Here, Dr. Oreadi at Tufts University performs a wide local excision of the tumor with total alveolectomy, reconstruction with a buccal fat pad advancement, and placement of a surgical obturator. Additionally, an ipsilateral supraomohyoid neck dissection was performed due to the relative risk of regional metastases.
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