Surgical Resection of Cancer of the Buccal Mucosa

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2025-10-31

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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery

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University of Cape Town

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Abstract
Buccal mucosa cancers are common in the South Asian subcontinent due to the habit of chewing tobacco, betel quid and betel nut, while they account for 5-10% of all oral cavity cancers in North America and Western Europe. Oral cavity cancer has a global incidence of 5.5 Age-standardized rate (ASR) and ranks 11th amongst men (GLOBOCAN 2012). Surgery is the mainstay of treatment with adjuvant therapy reserved for high-risk histological features. Surgical management of buccal mucosa is complex in view of its proximity to the infratemporal fossa and the mandible. A detailed understanding of the anatomy, relations and patterns of tumour spread is essential due to implications relating to oral function, cosmesis and local recurrence.
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