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Oral Cancer · Reconstructive Surgery · Hyderabad

Free Flap Reconstruction Oral Cancer — Rebuilding Speech, Chewing & Appearance

Medically reviewed by Dr. Muralidhar Muddusetty, Surgical Oncologist · Last reviewed June 2026.

After oral cancer surgery removes part of the tongue, cheek or jaw, free flap reconstruction rebuilds the mouth using your own healthy tissue. At CION Cancer Clinics, our surgical oncology team uses microvascular techniques so you can speak, chew and swallow again — with every plan reviewed by a tumour board.

  • Tumor board for every patient — your reconstruction is planned by surgical, medical and radiation oncologists together, not one doctor alone.
  • Microvascular expertise — radial forearm and fibula free flaps to restore the tongue, floor of mouth and jaw.
  • Transparent costs — clear estimates explained before surgery, with insurance and EMI support.
  • Care that continues — speech and swallowing rehabilitation guided by the team after your reconstruction.
4.8/5 Google rating · 15,000+ patients treated
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What Is Free Flap Reconstruction in Oral Cancer?

When oral cancer surgery removes part of the tongue, cheek, floor of mouth or jaw, it can leave a gap that is too large to close on its own. Free flap reconstruction rebuilds that area using a piece of your own healthy tissue — skin, muscle or bone — taken from another part of the body, most often the forearm or lower leg.

The tissue is called a "free" flap because it is completely detached from its original site and then reconnected at the mouth. Under a microscope, the surgeon joins the flap's tiny blood vessels to vessels in the neck so the new tissue keeps its own blood supply. This microvascular step is what allows the reconstruction to heal and stay alive.

The goal is not only to fill the gap, but to restore how you speak, chew, swallow and look — so daily life after cancer surgery feels as close to normal as possible.

Did you know?

At CION, the 1-year survival for oral cancer is 80.0% compared with the national average of 71.6% (Δ +8.4 points). Early, team-planned surgery and reconstruction help patients return to eating and speaking sooner. *1-year survival. Source: ICMR / NCRP.

Why CION

Why Patients Choose CION for Oral Cancer Reconstruction

Reconstruction is part of cancer treatment, not an afterthought. At CION, the same multidisciplinary team that removes the tumour plans how to rebuild what is removed.

Team-led

Tumor board for every patient

Surgical, medical and radiation oncologists plan your tumour removal and reconstruction together — so function and cure are balanced from the start.

Microsurgery

Full range of free flaps

Radial forearm flaps for the tongue and cheek, and fibula flaps for jaw reconstruction — selected to fit your defect and restore the most function.

Honest costs

Decisions for healing, not billing

Clear cost estimates are explained before surgery, with insurance cashless coordination and EMI options. No unnecessary tests.

Recovery

We walk this journey with you

Speech therapy, swallowing rehabilitation and nutrition support guide you through recovery after reconstruction — not just the operation.

Talk to a Reconstructive Surgical Oncologist

Free first consultation · Free written second opinion on your surgery plan

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12+ Centres in Hyderabad · Pick yours

CION cancer care is closer than you think.

We're never more than 30 minutes away. Same panel of specialists at every centre. Same tumour board reviews. Same NCCN protocols. Pick the closest one and call directly — or let us pick for you.

Not sure which centre fits best? Tell us where you are — we'll suggest the closest one with the right specialists.

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Beyond Hyderabad

35+ centres across Telangana & Andhra Pradesh

Travelling for treatment? We may have a centre right where you are.

Don't see your city? Call 18002028726 — we'll find your nearest CION partner centre.

Meet the Specialists

17+ senior cancer specialists. One panel for your case.

Trained at AIIMS, Tata Memorial, and leading international centres. Combined 150+ years of experience. Every complex case is reviewed by 3+ of them — together.

Dr. Naresh Gundu
Medical Oncologist

Dr. Naresh Gundu

MBBS, DNB (Internal Medicine), DM (Medical Oncology)

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Dr. C. Raghavendra Reddy
Medical Oncologist

Dr. C. Raghavendra Reddy

MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)

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Dr. Bharati Devi Gorantla
Medical Oncologist

Dr. Bharati Devi Gorantla

MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)

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Dr. Owais Mohammed
Medical Oncologist

Dr. Owais Mohammed

MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)

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Dr. T. Raghavender Reddy
Medical Oncologist

Dr. T. Raghavender Reddy

MBBS, DM (Medical Oncology), MD (Radiation Oncology)

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Dr. N. Kiranmayee
Medical Oncologist

Dr. N. Kiranmayee

MBBS, DM (Medical Oncology), MD (Internal Medicine)

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Dr. Muralidhar Muddusetty
Surgical Oncologist

Dr. Muralidhar Muddusetty

MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)

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Dr. Raghavendra Naik
Surgical Oncologist

Dr. Raghavendra Naik

MBBS, MS (General Surgery), M.Ch (Surgical Oncology)

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Dr. Mohammed  Imaduddin
Surgical Oncologist

Dr. Mohammed Imaduddin

M.B.B.S, MS (General Surgery), M.Ch (Surgical Oncology)

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Dr. Vinay Mamidala
Surgical Oncologist

Dr. Vinay Mamidala

MBBS, MS(General Surgery), M.Ch(Surgical Oncology), FMAS, FARIS(Ongoing)

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Dr. Paila Gowri Naidu
Surgical Oncologist

Dr. Paila Gowri Naidu

MBBS, MS (General Surgery), M.Ch (Surgical Oncology), FMAS

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Dr. Venkata Sushma P
Radiation Oncologist

Dr. Venkata Sushma P

MBBS, MD (Radiation Oncology)

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Dr. Kirti Ranjan Mohanty
Radiation Oncologist

Dr. Kirti Ranjan Mohanty

MBBS, MD (Radiation Oncology)

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Dr. Gangadhar Vajrala
Radiation Oncologist

Dr. Gangadhar Vajrala

MBBS, MD (Radiation Oncology), MPH

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Dr. Basudev Pokhrel
Hematologist

Dr. Basudev Pokhrel

MBBS, M.D (Immunohematology & Blood Transfusion)

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Dr. Mohammed Imran
Interventional Radiologist

Dr. Mohammed Imran

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Dr. Vajja Sandeep Kumar
Surgical Oncologist

Dr. Vajja Sandeep Kumar

MBBS, MS (General Surgery), DrNB (Surgical Oncology), FALS Oncology

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Dr. Sridhar Kamani
Surgical Oncologist

Dr. Sridhar Kamani

MBBS, MS (General Surgery), DrNB (Surgical Oncology)

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Want a specific doctor for your case? Mention them when booking.

Book Free Consultation

Planning Oral Cancer Surgery? Ask About Reconstruction First.

A 45-minute consultation with our surgical oncology team can explain whether a free flap is right for you — before any decision is made.

Book Free Consultation Call 18002028726
Flap options

Types of Free Flaps Used in Oral Cancer Reconstruction

The flap is chosen to match what was removed — soft tissue for the tongue and cheek, bone for the jaw. Your surgeon explains which option fits your case.

Flap choice is individualised. The descriptions above are general and do not replace a consultation with your surgical oncologist.

Your journey

What to Expect — From Surgery to Recovery

  1. 1Planning & tumour board — your scans and biopsy are reviewed by the team, the defect is mapped, and the right flap is chosen together with you.
  2. 2Surgery — the tumour is removed and the free flap is raised, transferred and connected to neck vessels under a microscope in the same operation.
  3. 3Close monitoring — the flap is checked frequently for the first few days when blood-flow problems are most likely and most treatable.
  4. 4Rehabilitation — speech and swallowing therapy and nutrition support help you return to eating and talking over the following weeks.
  5. 5Follow-up care — any further treatment such as radiation is coordinated, and you are followed up regularly to watch for recurrence.

Get a Cost Estimate & Reconstruction Plan

Transparent costs · Insurance & EMI support · No commitment to start treatment

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Real patients, real outcomes

You Deserve a Team That Rebuilds More Than the Tumour Site

Hear from patients who came to CION for oral cancer care and walked this journey with our team.

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Real Stories. Real Voices.

15,000+ patients chose CION. Hear from them directly.

These aren't paid endorsements or written reviews. These are video testimonials from real patients and families — recorded on their own phones, in their own words. Pick any one. Watch it. Then decide.

4.8★800+ Google reviews
50+video testimonials
15,000+patients treated
Successful Chemotherapy Done by Dr. C Raghavendra Reddy

Successful Chemotherapy Done by Dr. C Raghavendra Reddy

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Surgery, Chemo & Radiation Done by  Dr. Imaduddin, Dr. Vinay, Dr. Owais, Dr. Kirti

Surgery, Chemo & Radiation Done by Dr. Imaduddin, Dr. Vinay, Dr. Owais, Dr. Kirti

Watch video →
 Successful Radical Thymectomy Done by  Dr. Mohammed Imaduddin & Dr. Vinay Mamidala

Successful Radical Thymectomy Done by Dr. Mohammed Imaduddin & Dr. Vinay Mamidala

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Successful Surgery Done  by Dr. Rajender Byshetty

Successful Surgery Done by Dr. Rajender Byshetty

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Successful Chemo & Surgery Done by  Dr. Imad, Dr. Vinay, Dr. Owais & Dr. Raghavendra

Successful Chemo & Surgery Done by Dr. Imad, Dr. Vinay, Dr. Owais & Dr. Raghavendra

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Successful Chemo & Surgery Done by  Dr. Imad, Dr. Vinay, Dr. Owais & Dr. Raghavendra

Successful Chemo & Surgery Done by Dr. Imad, Dr. Vinay, Dr. Owais & Dr. Raghavendra

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Successful Chemo & Radiation Done by Dr. Owais Mohammed & Dr. Kirti Ranjan Mohanty

Successful Chemo & Radiation Done by Dr. Owais Mohammed & Dr. Kirti Ranjan Mohanty

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Successful Breast Cancer Surgery Done by Dr. Imaduddin Mohammed & Dr. Vinay Mamidala

Successful Breast Cancer Surgery Done by Dr. Imaduddin Mohammed & Dr. Vinay Mamidala

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Successful Chemotherapy Done by Dr. Bharati Devi Gorantla

Successful Chemotherapy Done by Dr. Bharati Devi Gorantla

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Successful Chemo & Surgery Done by Dr. Owais Mohammed & Dr. Imaduddin Mohammed

Successful Chemo & Surgery Done by Dr. Owais Mohammed & Dr. Imaduddin Mohammed

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Successful Chemotherapy Done by Dr. Gundu Naresh

Successful Chemotherapy Done by Dr. Gundu Naresh

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Successful Bone Marrow Transplantation - Neuroblastoma

Successful Bone Marrow Transplantation - Neuroblastoma

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Successful Surgery & Chemo - Carcinoma of Caecum

Successful Surgery & Chemo - Carcinoma of Caecum

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Successful Oral chemotherapy & mastectomy surgery

Successful Oral chemotherapy & mastectomy surgery

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Successful Oral chemotherapy & mastectomy surgery

Successful Oral chemotherapy & mastectomy surgery

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Successful Chemotherapy

Successful Chemotherapy

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Successful Surgery by Dr. Mohammed Imaduddin

Successful Surgery by Dr. Mohammed Imaduddin

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Successful Bone Marrow Transplantation

Successful Bone Marrow Transplantation

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Successful Oral chemotherapy & mastectomy surgery

Successful Oral chemotherapy & mastectomy surgery

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Successful Oral chemotherapy & mastectomy surgery

Successful Oral chemotherapy & mastectomy surgery

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Successful Chemotherapy

Successful Chemotherapy

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Successful Buccal Mucosa Surgery

Successful Buccal Mucosa Surgery

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Successful Complex Surgery Mandibulectomy Reconstruction

Successful Complex Surgery Mandibulectomy Reconstruction

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Common questions

Free Flap Reconstruction for Oral Cancer — FAQs

What is free flap reconstruction in oral cancer surgery?

Free flap reconstruction is a microsurgical technique that rebuilds the mouth after a tumour is removed. Healthy tissue — skin, muscle or bone — is taken from another part of the body, such as the forearm or lower leg, and its blood vessels are reconnected to vessels in the neck under a microscope. This restores the shape and function of the tongue, cheek or jaw so a patient can speak, chew and swallow again.

When is a free flap needed after oral cancer surgery?

A free flap is usually needed when a large part of the tongue, floor of mouth, cheek or jaw is removed and the defect is too big to close directly. The tumour board reviews each case and recommends reconstruction when it will meaningfully improve speech, swallowing or appearance. Smaller defects may be closed without a flap. The decision is always made together with the patient before surgery.

How long does recovery from free flap reconstruction take?

Most patients stay in hospital for one to two weeks after free flap surgery, with close monitoring of the flap in the first few days. Eating, speech and swallowing improve gradually over several weeks with the help of speech and swallowing therapy. Full recovery, including return to normal diet, can take a few months and varies by the size of the reconstruction and each person's general health.

Is free flap reconstruction available in Hyderabad at CION?

Yes. CION Cancer Clinics offers microvascular free flap reconstruction for oral cancer through its surgical oncology team across centres in Hyderabad and the wider CION network in Telangana and Andhra Pradesh. Every reconstruction plan is discussed by a tumour board, and costs are explained clearly before surgery. You can book a free first consultation at our oral cancer hospital in Hyderabad to discuss whether reconstruction is right for you.

What are the risks of free flap reconstruction?

As with any major surgery there are risks, including flap failure, bleeding, infection and donor-site healing problems. Careful microsurgical technique and close monitoring in the first days after surgery keep flap success rates high in experienced hands. Your surgical team will explain the specific risks for your case, what is done to reduce them, and the plan if a complication occurs. There are no guaranteed outcomes in cancer surgery.

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