Oral Cancer Treatment in Bangalore

Oral cancer is one of the most common cancers in India and for this reason, most experts who treat oral cancer are in India. Oral cancer is treated mainly with surgery supplemented with radiation therapy. The primary treatment is surgery. As it is facing, the treatment leaves a large wound on the face which scars badly in many patients leading to prolongation of recovery and difficulties.

Dr. Sandeep Nayak’s award-winning innovation of Robotic Infraclavicular Approach for Minimally Invasive Neck Dissection(RIA-MIND) is designed to reduce all the problems associated with these and give excellent results.

Dr. Sandeep Nayak and team also perform other complex oral cancer surgeries like hemi-glossectomy, hemi-mandibulectomy, maxillectomy, etc., along with reconstructive procedures like radical artery free flap reconstruction, free fibula reconstruction, ALT flap, and many other flaps.

Oral cancer primarily impacts your lips, the tip of the tongue, inner cheeks, the roof of the mouth and the floor of the mouth. When diagnosed in early stage oral cancer can be treated effectively. As every person can see their own mouth and recognize any change early and seek medical help early. However, many people take medical help very late, resulting in bad outcomes.

At MACS Clinic, Dr. Sandeep Nayak offers comprehensive oral cancer treatment in Bangalore. His mission is to provide the best cancer treatment in Bangalore, ensuring a full and speedy recovery. As one of the top surgical oncologists in India, Dr. Sandeep Nayak specializes in a wide range of cancer surgeries. He is an expert in minimally invasive and robotic surgeries.

Dr. Sandeep Nayak


MBBS, MRCSEd, DNB (Gen Surg),
MNAMS (Gen Surg), DNB (Surgical Oncology),

Fellowship in Laparoscopic and Robotic Onco-Surgery.
Dr Nayak is one of the leading senior Surgical Oncologists (cancer surgeon) of Bangalore. He is one of the pioneers of Laproscopic (laparoscopic) cancer treatment (surgery). He is the Director of Surgical Oncology at Fortis Hospital, Bangalore.

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Overview of Oral Cancer

oral cancer The general term for cancer that affects the inside of your mouth is oral cancer. Overall, oral cancer affects 11 out of every 100,000 people. Oral cancer strikes men more frequently than it strikes women.

White patches or bleeding sores on the lips or mouth are typical symptoms of oral cancer. These changes persist, which is how a typical issue differs from potential cancer. Oral cancer can spread from the mouth to other parts of the head and neck if not treated.
Now, let’s discuss,

Causes of Oral Cancer

  • Alcohol and tobacco use. Smoking cigarettes and other tobacco products increase your risk of developing oral cancer. The risk is also increased by heavy drinking. The risk is increased even more when alcohol and tobacco are used together. More than 70% of oral cancers are caused by the use of tobacco. Tobacco in any form is dangerous.
  • Sharp tooth and carried or rotten tooth: One of the main causes of oral cancer, especially among non-tobacco users. The repeated injury due to sharp tooth leads to many tongue cancers. Even badly fitted dentures can lead to oral cancer.
  • Beetle Nut (Pan masala): Use of beetle nut and pan masala damages the inner side of your cheek and can lead to oral cancer.
  • Age. Risk rises as people age. Over the 40s are most frequently affected by oral cancer.
  • Extreme sun exposure. Exposure to the sun can lead to lip cancer.

Symptoms of Oral Cancer

If the below symptoms persist for longer than two weeks, consult your physician.


  • A white or red patch, sore, lump, or thickness anywhere in the mouth is usually the first symptom.
  • Pain: Unlike other cancers, oral cancer can be painful in the beginning itself.
  • Difficulty in moving your tongue or jaw.
  • Swelling of the jaw that makes dentures uncomfortable or ill-fitting.
  • Numbness in your tongue or other mouth regions.
  • Ear discomfort or pain.

Diagnosis of Oral Cancer

Early detection of oral cancer is crucial because it can spread quickly. Tests for oral cancer include:

  • Physical examination: Your doctor will look inside your mouth from top to bottom and may also feel around your mouth. Your head, face, and neck will also be checked for any indications of pre-cancer or cancer.
  • Scrape biopsy or exfoliative cytology: The doctor gently scrapes the area in question using a small brush or spatula to collect cells that will be examined for cancer.
  • Punch or Incisional biopsy: A small piece of tissue will be cut out during an incisional biopsy so that cells can be obtained and tested for cancer.
  • Pharyngoscopy and indirect laryngoscopy: Your doctor will examine your throat, the base of your tongue, and a portion of your larynx (voice box) using a small mirror on a long, thin handle. This is to look for other tumors in the area.

Stages of Oral Cancer

Radiological tests like CT scan, MRI, etc can determine the cancer’s stage. A stage describes cancer’s location if it has grown or has penetrated the surface of the area where it was found. Additionally, tests can show if cancer has spread to other parts of your body.

Dr. Sandeep Nayak may use staging data to suggest the best oral cancer treatment in Bangalore and estimate patients’ chances of recovery.
Mostly, doctors utilize the TNM system to stage cancers.

  • T stands for the primary tumor’s size and location.
  • N means that cancer has affected your lymph nodes.
  • M denotes whether the tumor has spread to other parts of your body or metastasized.

The stages of cancer of the oral cavity are:

  • TI: The growth in your mouth is no larger than 2 centimetres.
  • T2: The tumor is no larger than 4 centimetres in diameter and is 2 centimetres or smaller.
  • T3: The tumor is over 4 centimetres in size.

Treatment of Oral Cancer in Bangalore

Early-stage oral cancer is often treated with surgery or radiation therapy. It may also require a combination of treatments when it is in advanced stage. The treatment depends on your overall health, the location of the tumor in the mouth or throat, its size and type, and whether the cancer has spread.

Surgeries for Oral Cancer

The most common oral cancer surgeries are:

It involves the removal of tumors through the mouth or a neck incision.

This is when your tongue cancer is removed. It is usually removed along with some healthy tissue

This procedure is to treat oral cancer involving the jawbone.

In this procedure, the hard palate, or bony roof of your mouth, is partially or entirely removed.

This involves removal of lymph nodes in the neck which have a likelihood of cancer spread. The lymph nodes work as filters which store the cancer cells that are coming out of the primary cancer. This surgery can be performed by open surgery or with laparoscopic equipment or using robot.

In some selected patients we can perform sentinel node biopsy which is for removing only highly selected nodes. This procedure lets doctors determine whether cancer has spread past the original oral cancer. Lymph nodes in your neck are removed during a neck dissection (link) procedure.

After significant tissue removal, you might require reconstructive surgery to close any gaps the tumor left behind or to replace any missing lips, palate, tongue, or jaw tissue. Removing healthy bone and tissue from other body parts may occasionally be necessary during reconstructive surgery.

Oral cancer is a severe condition that, if detected early, can be treated effectively. You should make an effort to visit your dentist twice a year and schedule time to perform a monthly self-exam. One of the most effective ways to prevent oral cancer is to abstain from using tobacco products.

Cancer diagnoses can be frightful. But remember that you don’t have to do it alone. Consult your healthcare provider about resources when telling friends and family about your oral cancer.


Anytime you notice changes in your mouth, such as fresh white, black or red patch, persistent sores or rough areas that don’t go away after two weeks, you should get in touch with your doctor.

This disease spreads quickly, especially in people over 50 who use alcohol or tobacco. Time taken depends on multiple factors. Therefore, early detection is crucial to increase the likelihood of successful treatment.

Depending on the stage if the cancer. Early cancer can be treated in one day. But, most need a treatment for about 45 to 60 days.

After oral cancer surgery, most patients can return to their homes within a week. If it is robotic surgery, many return home within 3 days. Before you leave, you will receive any necessary instructions on how to take care of any dressings, tubes, or drains, if there are any.

Patients who receive an early diagnosis of the oral cavity cancers have an overall 5-year survival rate of more than 90 percent. The 5-year survival rate falls to 50% if cancer has spread to nearby tissues, organs, or lymph nodes.