Cancer involving lower jaw bone(mandible) is a common scenario in oral cancer. Cancer can arise from cheek (buccal mucosa) and involve jaw bone or cancer can arise denovo on jaw bone.
1. ulcer or growth involving jaw bone
2. Swelling of jaw bone
3. Loosening of tooth
4. Change in voice or hoarseness
5. Lumps in neck
2. CT scan/PETCT scan for staging .
Surgery is main treatment option called Composite resection followed by post operative radiotheraphy.
Here only a margin of mandible is resected maintaining the continuity of jawbone so that shape and function (chewing , speech) are preserved. The resected area is generally covered with flap.
This type of surgery is done in cases with cancer touching jaw bone or early involvement of jaw bone.
Here bone is involved by tumor, so full thickness segment of jawbone is removed to clear tumor.
This causes significant morbidity to functions like chewing , speech, swallowing and change in external appearance.
To reduce this morbidity during cancer surgery reconstruction can be done using bone or soft tissue flaps after resection of cancer.
Bone can be replaced with bone using leg bone call Fibula free flap.
This restores continuity of bone , so all functions are preserved and enhances external appearance.
Cancer of lower jaw bone
Resected jaw bone with cancer.This defect will be reconstructed with fibula free flap.
Fibula bone in leg will be shaped according to removed jawbone and fixed to jawbone
Fibula bone in leg will be shaped according to removed jawbone and fixed to jaw bone. Skin of leg harvested along with bone will cover the defect in the mouth. Blood vessels of bone are connected to neck vessels for new blood supply.
After bone flap usage for reconstruction shape of face is restored ,occlusion of teeth is maintained so chewing hard food is possible and speech and swallowing are not affected.
Cancer of jaw bone , underwent composite resection and reconstruction with fibula free flap
Pre Planting &IMF
Harvesting fibula free flap
Harvesting fibula free flap
Harvesting fibula free flap
Post operative picture .Restored function and cosmesis
After completion of treatment patients can have fixed teeth on implants.
Another example of jaw bone reconstruction
-Oral cancer involving mandible (jaw bone)is a common scenario. This requires multimodality treatment and team approach for both resection and reconstruction to cure the patient from disease and also to restore form and function so patients quality of life is not affected.
-Contact us, DR Rahul buggaveeti and his team Dr Umanath Nayak , Dr Abhishek Bhudarapu , the best head and neck surgeon team in south India for superior oncological results.
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Sandeep MallyaSoftware Engineer
It has been difficult to find the best Oncologists in the city but I got the most needed Oral Cancer Treatment in Hyderabad at Dr Rahul’s. Dr Rahul is a caring and most approachable doctor. Highly recommended.
I’ve been battling with sinus issues for years now and have struggled to have a sinus free life. I’ve always been a fun person but sinus has taken me away from it. I met Dr Rahul, a very well reputed sinus cancer specialist and with his treatment, I feel like I can achieve a great life ahead. Very grateful.
Dr Rahul has been treating my father with Oral Cancer and by far the results we have seen have been impeccable. I can surely say that Dr Rahul is the best head and neck oncologist in Hyderabad.
Dr Rahul always answers the questions with extreme patience. Consulted him for my mother’s oral cancer treatment with obvious lots of concern. I take pride in getting my mother the most needed treatment from the best ENT Specialist.
We have known Dr Rahul’s for a while now as I’ve done my consultation with him after I moved to the city. Got remarkable throat cancer treatment in Hyderabad at Dr Rahul’s after quite a struggle. His expertise is top notch and I can happily trust him with my life.
I am a doctor overseas and when my mum needed surgery for oral cancer, Dr Rahul was collectively recommended by many of my doctor friends and colleagues and I could clearly see why with the experience we had with him. His high standards of care represent how advanced his practice is. He explained things clearly to my mother, provided all the available management options, responded promptly to queries, understood the implications of surgeries to the whole family and provided a holistic care. Needless to say about his great surgical skills, his vast knowledge and experience combined with professionalism and sincerity makehim the best head and neck oncologist to approach for any of our loved ones.
I went to Dr Rahul for biopsy for my vocal cords after 7 years of radiation treatment. He treated me well and explained everything clearly. He is a very nice doctor,he explains everything very clearly, Dr.Rahul and is whole team is very friendly , he also suggests what is the best for us , he has done a successful biopsy for my vocal cords and the result came negative which he told me before biopsy. He is very talented and experienced. When ever we go for regular checkups ,he is very caring and responsible.. Thank you sir.
Dr. Rahul buggaveti is the excellent and best Doctor. His concerned towards patient is more responsible. He has done surgery for my mother suffering from carcinoma, he clearly explained about the problem, how the surgery will be done. Starting from treatment till date he was the only one responds immidiately and rectified health issues for patient at anytime. Great attitude lot of patience &showing kindness towards patient health. I am very much grateful to Dr. Rahul for giving such an adorable treatment to my mother. I suggest everyone to my friends to approach ENT doctor Dr. Rahul I thank GOD for showing path towards Dr. Rahul for my mother treatment .
Dr Rahul Buggaveeti, Head & Neck surgical oncologist, Hyderabad is excellent in diagnosis of problem and superb skills as a surgeon i experienced during my cousin treatment for jaw bone cancer. He will explain well before and after surgery and suggest post operative measures very well. Maintain transperancy throughout the treatment. Great patience. Thanks to him.
I went with swelling in the neck at right side for a month ago and consulted Dr. Rahul Buggaveeti. He immediately suggested USG Guided FNAC but the report was inconclusive. Further investigations were planned for Frozen section biopsy and surgery by Dr. Rahul. So I went with a total thyroidectomy+ Central neck dissection in which they have Identified level II, III, IV lymph node to be cystic in consistency with black discoloration. The lymph node sent for frozen section analysis and found Metastasis from thyroid carcinoma. Dr Rahul took outmost care by removal of infected nodes on both sides of my neck and successfully completed my surgery. From the starting to the end of my operation he was so supportive to me and my family by all means. The way he explains and motivates the patient is rare quality from any doctor. After post operation also Dr Rahul took personal care by giving mental and physical motivation to me as a family member. I strongly recommend patients related to ENT problems to Dr Rahul Buggaveeti. I and my family will be always thankful to Dr. Rahul Buggaveeti.
Brilliant Doctor with Humble approach. Dr. Rahul is experienced professional. From start to end I was so comfortable discussing my problem with him, he was very clear & transparent with his approach. He explained me the treatment & surgery procedure in very simple words which make sense to me. Today when I am writing this is 20th day after my surgery and now, I look back I can see everything is going well as Dr. mentioned.
Suraj Kumar Chandrakar
I consider myself blessed to find Dr. Rahul for the treatment my mother needed six months ago. We were so unsure and lost about what was going on for weeks prior, but within a few minutes of a consultation with Dr. Rahul, he explained to us the diagnosis and course of treatment in a very precise and easy manner to understand. In addition to this, he also empathized and gave us alot of moral support. I did not even need to think of going for a second opinion as Dr. Rahul made me feel secure in the first meet. I would forever be grateful to Dr. Rahul for everything he has done for my family. God bless you Doctor
Excellent treatment and very patient hearing from the doctor. We met Dr Rahul Buggaveeti in Apollo Hospital Jubilee hills for my wife's thyroidectomy which was pending since last 17 years. He was so patient in hearing to all our queries and answered them in detail. He conducted the operation with precision and saved the vocal chords and other important nerves for chewing and swallowing. Recovery was very quick after surgery. Within 4 days my wife was almost normal with daily activities. We thank Dr Rahul Buggaveeti garu for such a hassle free surgery and answering all our queries time to time thereby instilling confidence in us. Thank you Dr Rahul Buggaveeti garu. 🙏🙏
5 months ago I have consulted Dr. Rahul Buggaveeti for my Thyroid problem. Dr. Rahul is excellent and best Doctor. He explains everything clearly and ensures that they understand the treatment plan and response immediately through whatsApp also. I felt that I got plenty of time to explain my issues without feeling rushed and he gave me hope and mental support. The way he counselled me gave a scope to lead a new life. He gives more importance to the patients rather than anything else. I am thankful to my destiny that made me to meet a wonderful and caring person like him. I would like to visit whenever needed and complete my treatment with full trust. I even suggest others can get their treatment with full hope and trust.
I am a practicing physician in the US. In early 2021, I had noticed a change in the voice of my father. Initially saw a local ENT who dismissed his symptoms for allergy and reflux. A close oncologist friend of mine suggested he see Dr. Rahul, who diagnosed him with a dysplastic lesion and suggested Radiation. My parents were very happy that Dr.Rahul was very thorough and informative. He discussed with them in detail the pros and cons of procedures. My father regained his voice, and needless to say - my family and I are glad and grateful for Dr.Rahul’s services. As a person Dr.Rahul is humble and sincere. He is knowledgeable and is an expert in his area of specialization. I highly recommend Dr.Rahul for any ENT related issues.
Great experience as a first timer. I barely waited to be helped when I checked in. The staff and Dr. Rahul Buggaveeti were all very friendly and helpful. I especially loved how Dr. Rahul Buggaveeti really took his time to explain my conditions with me as well as my treatment options. I had a great visit and the doctor’s demeanor has really put me at ease so I highly recommend this for ENT and Head and nick surgeries. The Dr. Rahul Buggaveeti has the one of the best treatment and speedy recovery for head and surgeries and treatment.
My dad noticed a tumor on his tongue and visited Dr. Buggaveeti. Dr. Buggaveeti performed biopsy and determined it was cancerous. As soon as my dad heard the word cancer he became too worried. Dr. Buggaveeti consoled him, clearly explained us the procedure to take care of it and dad went through with it. Dr. Buggaveeti kept us well informed all through the process and provided excellent care. Thanks to the Dr. Buggaveeti that it was diagnosed early and all the cancerous tumor was removed. My dad is cancer free and will be monitored for next year. I would strongly recommend Dr. Buggaveeti for your ENT oncology needs.
Dr Rahul Buggaveeti garu given excellent treatment, guidance & care to my father, who suffered from throat & lung problem due to his smoking habit for last 50 years. Doctor garu swiftly identified the symptom initially & provided efficient treatment & helped in curing the disease totally.Health is Wealth.
My mother recently went through a surgery from Dr Rahul and the surgery went perfectly fine. He is very helpful regarding personal doubts and queries which I felt very helpful as being from a non medical background I and my mom came up with several doubts which he answered with utmost patience.
Dr.Rahul is a very nice doctor,he explains everything very clearly ,Dr.Rahul and is whole team is very patient, he also suggests what is the best for us , he has done a successful surgery for carcinoma oralcancer to my husband When ever we go for regular checkups ,he is very caring and responsible. I always thanks sir. Great patience. 🙏🙏
Dr. Rahul sir is very talented, understanding in nature and resourceful oncologist. He has done my successful surgery of adenoid cystic carcinoma of right ear canal with parotidectomy surgery. He tells you the complex phenomenon in simple words which easily understands the people. He helps the patient at his level and also gives moral supports to the patient. I am really very happy that I got treatment under him. Thankful to Dr. Rahul buggaveeti for their support.
I am really thankful to Dr. Rahul for treating me and saving my life from one of the rarest cancer. The way explain and treat gives a great confidence. The biggest USP is his all time availability either be on call or clinic visit. I had been thru few emergency scenarios and he was always there to treat. Thanks Dr Rahul for everything you have done.
My Name is ShivaPrasad. I have recently undergone a Surgery by Dr.Rahul Buggaveeti. Im very thankful to God that he has helped me in meeting Dr.Rahul who is very helpful in explaining, motivating and caring for my Surgery and making it Success. He is very Patient in answering all our doubts and questions. Me and my Family are verymuch thankful to Dr Rahul Sir.🙏
Thanks is not enough to show my gratitude towards Dr Rahul Buggaveeti sir. He has done a successful surgery for mucormycosis (black fungus) to my father. When ever we go for regular checkup, his care and suggestions are immense. We are very fortunate that my father has recovered well. Thank you very much sir 🙏
Sai Kiran Chowdalla
I am out of my way, when knowing about my health condition(thyroid cancer). But at the same time, I am thank full God for showing Dr. Rahul.as my health guru. I have seen so many doctors who are very patient, but he is out of my expectations in patience and talent. We are always proud to have very responsible doctors like him. I always think that doctors are next to god, he has proven that. The quick response to the patient's through online in this pandemic is highly appreciable.
Sudheer Reddy P
Excellent services. Had my uncle treated. Will recommend. Very patient and highly qualified
Very good doctor,highly experienced doctor gives his utmost to a patient.The team is good and cooperative.
He is best Oncologist in Hyderabad, I have taken my uncle to him at serious condition, Dr.Rahul Buggaveeti sir did surgery and saved life of my uncle, he takes care of patients very well, he helps the patient and gives moral supports to the patient and patient family members. Thankful to Dr. Rahul Buggaveeti for his support.
Dr rahul buggaveeti is extremely helpful, and incredibly patient in explaining exactly what needs to be done and what he has done. His response is invariably speedy, practical and sensible.
Dr.Rahul Buggaveeti is one of the finest head and neck surgeons in the country. My father had been consulting Rahul sir for leukoplakia which had later developed into cancer which the doctor had been warning us and had been requesting to come for regular check ups for the last 2+ years. The process of surgery was explained in very much detail, the post surgery care and possible complications and everything else was briefed to us prior to the surgery. The surgery took 11+ hours and Dr. Rahul Buggaveeti sir and his team did it with so much precision and care that my father was able to talk properly and walk and take food within a week's time. We'll be forever indebted for the treatment he gave my dad that he's able to fight cancer and start anew. Thank you sir! 🙏
The way he talks to the patient is simple but patient does not think to have second openion. That's really his greatness. During surgery time and post surgery, he takes care of patient is fantastic and appreciable by regular reviews over phone and physical consultance. It shows his sincere attention on the patient. Being a relative of the patient who was treated by Dr. Rahul Buggaveeti, I am very happy to his approach and treatment which has clarity. Wishing him great success and recommend to all my friends and relatives who needs this kind of treatments.Dr Rahul Saved my cousin from the serious health issue.He Diagnosed the Mouth cancer on time and treated well even after post surgery. His personal care is remarkable .Rahul consistently motivated and showed empathy .Thank u very much