Wide local excision or composite resection

Wide local excision or composite resection of_ Tongue, Floor of mouth, Buccal mucosa, Gingiva, Hard palate

Wide local excision involves removing a tumor in the oral cavity along with a generous margin of healthy tissue to ensure complete eradication. When bone or deeper structures are involved, a composite resection is performed, removing both soft tissue and adjacent bone en bloc. Dr. Hitesh R. Singhavi routinely applies these techniques to lesions of the tongue (both mobile and base), floor of mouth, buccal mucosa (inner cheek), gingiva (gums), and hard palate. The goal is to clear disease completely while respecting critical anatomic boundaries.

Personalized Treatment Plan:

Dr. Singhavi begins with a detailed assessment—clinical examination, contrast-enhanced MRI or CT imaging, and targeted biopsies—to map the tumor precisely. For small, superficial lesions confined to soft tissue, he selects a wide local excision; for tumors breaching bone or deeply infiltrating, he opts for a composite resection. Preoperatively, patients undergo nutritional optimization and speech/swallowing evaluations. Intraoperatively, Dr. Singhavi uses frozen-section analysis to confirm clear margins before concluding the resection. When composite defects arise, he collaborates with reconstructive microsurgeons to plan immediate repair—using local flaps or microvascular free-flap transfers—to restore form and function in a single stage.

Benefits :

Under Dr. Singhavi’s meticulous technique, patients enjoy robust local control of their disease, with a significantly lowered risk of recurrence. By tailoring the extent of resection to each tumor’s behavior, he preserves as much healthy tissue as possible, which translates to better speech articulation, chewing efficiency, and swallowing comfort. Intraoperative margin verification minimizes the need for additional surgeries, expediting the overall treatment timeline. Postoperatively, patients benefit from shorter hospital stays and faster rehabilitation—supported by dental prosthetics and speech therapy—resulting in a smoother return to daily life and a lasting sense of oral well-being.