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Department of Otolaryngology

Department of Otolaryngology

Oral Cavity - Head and Neck Oncology

Tumors of the oral cavity typically present with a non-healing ulcer of the tongue, lining of the mouth, or lips. Patients often have pain in the mouth and ears. These tumors are largely caused by tobacco and alcohol use. The majority of oral malignancies are squamous cell carcinomas. These tumors frequently spread to the lymph nodes of the neck. Evaluation will consist of a complete head and neck examination. This often requires a fiberoptic examination of the throat and voice box. All tumors will require biopsy. Most can be performed in the clinic with minimal discomfort. In cases of larger tumors complete evaluation may necessitate an examination under general anesthesia in the operating room.

The treatment of early oral cancer almost always requires surgery. The type of operation recommended depends on the individual characteristics of each tumor. In many cases, laser surgery may be an option. Removal of lymph nodes from the neck may also be necessary. In advanced cases, treatment requires a combination of surgery in the mouth and neck, radiation therapy, and, on occasion, chemotherapy. With larger tumors complex reconstruction may be needed. At UC Davis, we offer cutting edge reconstructive techniques, including free-tissue transfer, in order to restore function and provide the best possible cosmetic result. We work closely with our cancer colleagues in radiation and medical oncology to ensure that our patients get the most up-to-date and best possible care.

D. Gregory Farwell, M.D., F.A.C.S.

Arnaud F. Bewley, M.D.


Department of Otolaryngology - Head and Neck Surgery

Mailing address:

2521 Stockton Blvd., Suite 5200
Sacramento, CA 95817

Cleft Lip/Palate:

(916) 734-2452

Audiology & Speech Appointments:

(916) 734-5400

Facial Plastic Surgery Appointments:

(916) 734-2347

Dental Appointments:

(916) 734-5429

Reflux Clinic Appointments:

(916) 734-4076

Clinic Appointments:

(916) 734-5400