What to expect from tumour removal surgery for tongue cancer

The amount of tongue removed depends on the tumour's position and depth. The surgeon may also assess or remove lymph nodes in the neck. The wound may be closed directly or reconstructed with tissue from another area. The specimen is examined to assess the tumour and its edges.

Swelling can affect speech, chewing, and swallowing at first. A feeding tube may be used while swallowing is assessed. A speech and language therapist can help with exercises, safe textures, and communication strategies.

Tell the team about dental problems, medicines, smoking, and any difficulty swallowing before surgery. Afterward, follow instructions for mouth rinses, wound care, feeding, and prescribed pain relief. Avoid very hot, sharp, or irritating foods until your team says they are suitable.

Attend dental, surgical, nutrition, and speech reviews as arranged. Practise recommended jaw, tongue, and swallowing exercises without forcing painful movement.

Get emergency help for trouble breathing, heavy mouth bleeding, or sudden swelling that blocks the airway. Contact the team for fever, pus, worsening neck or mouth redness, dehydration, repeated choking, or pain that remains severe despite medication.

Ask how much tongue tissue may be removed, whether neck nodes will be treated, how eating and speaking will be supported, whether reconstruction is planned, and when the pathology report and rehabilitation plan will be reviewed.