Surgical Factors Affecting Outcomes in Oral Squamous Cell Carcinoma

  • Justine Moe
  • Andrew Baker
  • Brent WardEmail author


Surgery is the primary treatment modality for oral cavity squamous cell carcinoma (OCSCC). Care team factors, patient factors, and procedure-related factors affect surgical outcomes and overall prognosis. The management of the primary tumor per oral cavity subsite, the management of the neck, and the evaluation of margin status are fundamental surgical principles. In addition, dental rehabilitation is an important functional consideration in the reconstruction following tumor ablation. The use of adjunct surgical tools including surgical navigation and virtual surgery planning allows for patient-specific and highly precise bony ablation and reconstruction. Evidence-based surgical decision-making can optimize treatment outcomes and improve survival.


Oral cancer Tumor resection Ablative surgery Reconstructive surgery Free flap reconstruction Margin status Neck dissection Sentinel node biopsy Dental rehabilitation Surgical navigation 



The authors would like to acknowledge Raea Bucher, illustrator, for providing Figs. 5.15.5 and 5.10 for this chapter.


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial SurgeryUniversity of MichiganAnn ArborUSA

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