Benign or small malignant tumors of the oral cavity may be excised without a neck dissection, though in the presence of diagnosed or highly suspicious metastatic disease, a selective neck dissection may be performed in an effort to control a cancerous growth in the upper jugular lymphatic chain of the neck. Typically, endotracheal anesthesia is used and a pharyngeal pack of moist gauze may be inserted in the mouth. The perioperative team must be prepared for which additional procedure when head and neck surgery is performed?

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For some tumors of the oral cavity, a tracheostomy is performed to ensure a patent airway after surgery. A percutaneous endoscopic gastric tube, neck dissection, and composite resection of both the mandible and the tongue with free flap reconstruction are considered for extensive disease.

Benign or Small Malignant Tumors of the Oral Cavity May