A maxillectomy removes the part of the upper jaw affected by cancer. The fears it raises — will food come out of my nose, will I sound different, will my face and teeth change? — are completely understandable, and the reassuring answer is that eating, speech and appearance can be restored. The roof of the mouth is sealed again with a custom plate (an obturator) or rebuilt with your own tissue, and dental-and-speech rehabilitation brings back eating and a natural smile.
Obturator or free-flap reconstruction — the roof of the mouth restored
Upper-jaw-sparing where the cancer allows; dental & speech rehab
Non-judgemental care · Aarogyasri for oral cancer · clear indicative costs
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Obturator & dental rehab
Upper-jaw-sparing where possible
Head & neck tumour board
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SM
Written by Dr. Srinivasulu Mukta, Surgical Oncologist, MCh (Surgical Oncology), 35+ years, with CION's head & neck surgical oncology team. Medically reviewed by Dr. Muralidhar Muddusetty, MRCS (Edinburgh), AIIMS-trained, Surgical Oncology. · Reviewed 14 July 2026
Understanding the surgery
What is a maxillectomy?
A maxillectomy is surgery to remove the part of the upper jaw (the maxilla) affected by cancer, with a margin of healthy tissue. Because the upper jaw forms the roof of the mouth, removing part of it can open a gap between the mouth and the nose — so a key part of the operation is restoring the roof of the mouth, with a custom plate called an obturator or by rebuilding it with your own tissue. A partial maxillectomy keeps as much of the jaw as the cancer allows; a total maxillectomy removes the whole upper jaw on one side.
Upper-jaw cancers usually start on the hard palate (the bony roof of the mouth), the upper gum, or in the maxillary sinus above it. In our region, chewing tobacco, gutka and areca nut are leading causes of mouth cancer — which also means there is no judgement here, only a focus on treating the cancer and getting you back to eating and speaking well. Your surgeon plans the removal, how the roof of the mouth will be restored, and the dental and speech rehabilitation together, so all of it is considered from the start.
What a maxillectomy sets out to do
Removes the upper-jaw cancer
Only the affected part of the upper jaw is removed, with a margin of healthy tissue, plus neck nodes where needed.
Restores the roof of the mouth
The gap to the nose is sealed with an obturator plate or rebuilt with your own tissue, so you can eat and speak.
Plans rehabilitation in
Dental rehabilitation (teeth on the obturator or implants) and speech therapy are planned from the very start.
How much upper jaw is removed
Partial vs total maxillectomy
How much upper jaw is removed depends on the size and position of the cancer. A partial maxillectomy removes only the part with the cancer — for example a piece of the hard palate or upper gum — and keeps the rest. A total maxillectomy removes the whole upper jaw on one side, needed for larger cancers or those starting in the maxillary sinus. In both, the roof of the mouth is restored with an obturator or free-flap reconstruction, so eating and speech are protected.
A partial maxillectomy keeps most of the upper jaw; a total maxillectomy removes the whole upper jaw on one side, and the roof of the mouth is then restored.
Partial maxillectomy
Total maxillectomy
What is removed
Only the part of the upper jaw with the cancer (e.g. part of the hard palate or upper gum); the rest is kept.
The whole upper jaw on one side.
Usually used for
Smaller hard-palate or upper-gum cancers.
Larger cancers, or those starting in the maxillary sinus.
Restoring the roof of the mouth
Sealed with an obturator, or rebuilt; eating and speech usually well restored.
A larger obturator or free-flap reconstruction restores the roof of the mouth; speech & dental rehab restore function.
Recovery
Often quicker; a temporary obturator can be fitted at surgery so you drink and speak sooner.
A bigger operation and a longer recovery, fully supported step by step.
Not sure which applies to you? A second opinion from CION's head & neck tumour board reviews your scans and biopsy together and explains, in plain language, exactly what your situation needs.
Tests that confirm the diagnosis and plan the surgery
Before any surgery, the cancer is confirmed and mapped. A biopsy confirms whether it is cancer; a CT or MRI shows exactly how much of the upper jaw, palate and sinus is involved; and scans check the neck nodes and whether it has spread. This is also when a maxillofacial prosthodontist plans your obturator — so restoring the roof of the mouth is designed from the start.
Diagnostic services we offer — book any of these:
Upper-jaw / oral biopsy
A small tissue sample confirms whether an upper-jaw or hard-palate lesion is cancer and what type it is.
This is what worries people most, and the honest, hopeful answer is that eating, speech and appearance can be restored. Removing part of the roof of the mouth opens a gap to the nose — which is exactly why the roof is sealed again. There are two ways: an obturator, a custom plate that fits into the roof of the mouth, seals the gap and can carry a full set of teeth; or free-flap reconstruction, which rebuilds the area with your own tissue. Both separate the mouth from the nose again — so food stays in the mouth, speech is clear rather than nasal, and most people eat, speak and smile naturally again.
Two ways to restore the roof of the mouth: a removable obturator plate that can carry teeth, or free-flap reconstruction with your own tissue. Both separate the mouth from the nose again.
Obturator (a custom plate)
A maxillofacial prosthodontist makes a plate that fits into the roof of the mouth, seals the gap to the nose and can carry a full set of teeth. It is removable — so the area is easy to keep clean and check — and can often be fitted early, which is why many upper-jaw cancers are restored this way.
Free-flap reconstruction
For larger removals, the area is rebuilt with your own tissue (a free flap), restoring the roof of the mouth and the shape of the face in one operation. Read more about free-flap reconstruction after oral cancer.
Treatment & reconstruction
Upper-jaw cancer treatments we deliver
Removal and restoration are planned as one. That means the maxillectomy itself, the way the roof of the mouth is restored (obturator or free flap), neck-node clearance where needed, and any radiation or systemic therapy your tumour board recommends afterwards — plus the dental and speech rehabilitation that brings back eating and a natural smile. Every plan is set by a head & neck tumour board for your stage.
Treatments we deliver — book a consult for any of these:
Partial / total maxillectomy
Removing the upper-jaw cancer with a clear margin, keeping as much of the jaw as the cancer allows.
The approach is chosen to remove the cancer completely while keeping as much of the upper jaw and function as possible. The affected maxilla is removed with a margin, and the roof of the mouth is restored in the same plan. The neck lymph nodes may be removed and tested where the cancer can spread. When a cancer sits high, near the eye socket, the surgeon plans carefully to protect the eye — it is preserved in most cases, and only rarely is more needed.
Upper-jaw-sparing where possible
Wherever the cancer allows, a partial maxillectomy keeps more of the jaw, which protects eating and speech.
Protecting the eye
The eye sits above the upper jaw and is preserved in most maxillectomies; if a cancer involves the socket, your team explains it fully in advance.
Every case is planned by a head & neck tumour board, so the removal, the reconstruction and the rehabilitation fit together — and the safest, most function-preserving approach is chosen for you.
Restoring the roof of the mouth — planned together with the removal, so eating, speech and appearance are protected.
What to expect & recovery
What to expect & recovery
A maxillectomy — especially with reconstruction — is a significant operation, but it follows a clear, well-supported path. Often a temporary obturator is fitted at the time of surgery so the roof of the mouth is sealed straight away, letting you drink and speak sooner. Expect a hospital stay, sometimes with a short period of tube feeding while the mouth heals, and eating progresses from liquids to soft foods to a normal diet.
1
Before surgery
Scans plan the extent; a prosthodontist, speech therapist and dietitian prepare you.
2
The operation
The affected upper jaw is removed and the roof of the mouth is restored — often a temporary obturator at once.
3
In hospital
A hospital stay while healing begins, sometimes with short-term tube feeding; you start liquids and soft foods.
4
Rehabilitation
A permanent obturator with teeth is fitted (or reconstruction settles); dental & speech rehab restore eating and talking.
5
Follow-up
Regular check-ups confirm the cancer stays controlled, with support at every step.
Your team explains each step in advance, and dental and speech rehabilitation continue as an outpatient. Most people return to eating, speaking and smiling well — the goal from the first day is to restore your life, not only remove the cancer.
Cost & coverage
Maxillectomy cost in Hyderabad Indicative
The cost depends on how much upper jaw is removed and how the roof of the mouth is restored — a partial maxillectomy with an obturator costs less than a total maxillectomy with free-flap reconstruction. The reassuring part: this is treatment for oral cancer, so it is generally covered under Aarogyasri / PMJAY at empanelled centres, and by most health-insurance policies. These are estimates, not a quotation.
Indicative cost estimator
Pick your situation for an indicative range, then request an exact estimate for your case.
Indicative range
₹1,30,000 – ₹2,40,000
for a partial maxillectomy with an obturator, general ward, self-pay
Figures are indicative only and not a quotation. Aarogyasri / PMJAY may cover eligible oral-cancer surgery at empanelled centres, subject to eligibility. Your actual cost depends on the extent of surgery, how the roof of the mouth is restored, hospital stay and any treatment around it.
Figures are indicative only, drawn from typical private-hospital ranges in India, and are not linked to any pricing promise. A written estimate is provided after consultation, based on your individual plan.
Free consultation
Talk to an upper-jaw cancer surgery specialist — free
An upper-jaw or hard-palate cancer shouldn't wait. Book a free consultation and, if you already have a biopsy report, a free written second opinion — with clear answers on eating, teeth and cost.
Your reports reviewed by a senior head & neck surgical oncologist
An honest plan for the obturator or reconstruction that restores eating
Aarogyasri / PMJAY & insurance guidance — without judgement
Support
Financial support & Aarogyasri
Cost should not delay treatment. Because a maxillectomy treats oral cancer, eligible surgery may be largely covered under Aarogyasri and PMJAY at empanelled centres, and private insurance is accepted cashless. Our counsellors help check eligibility, arrange approvals and map out what you will actually pay — often far less than families fear.
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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.
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Meet the head & neck surgical team
Your maxillectomy is planned by a team, not one doctor.
Surgical, reconstructive, radiation and prosthodontic specialists plan every case together in a head & neck tumour board — part of 17 senior specialists across CION.
Share your name and number — we'll call you back within 30 minutes to schedule your consultation.
An upper-jaw or hard-palate cancer? Don't wait, and don't decide alone.
Eating, speech and appearance can be restored — and the earlier it is treated, the more of the jaw can be spared. Let CION's head & neck tumour board review your reports and give you an honest, hopeful plan.
Common fears about upper-jaw cancer surgery — answered
These are the worries people rarely say out loud. Here are honest, respectful answers to the ones we hear most in Telangana.
“Food and water will come out of my nose forever.”
Fact: This is exactly the gap the surgery restores. Removing part of the roof of the mouth opens a space to the nose, so it is sealed again — with a custom obturator plate or by rebuilding with your own tissue. Food and drink stay in the mouth, and most people eat comfortably again.
“I'll never be able to eat normal food again.”
Fact: Most people return to a normal or near-normal diet. Eating starts with liquids and soft foods and progresses as you heal, guided by a dietitian and speech therapist, once the roof of the mouth is sealed with an obturator or reconstruction.
“My face will be disfigured.”
Fact: The aim is to preserve your appearance. A partial maxillectomy restored with an obturator often leaves the face looking much as before; for larger removals, free-flap reconstruction rebuilds the shape of the face. Your team explains exactly what to expect beforehand.
“I'll lose my eye.”
Fact: In most cases, no. The eye sits above the upper jaw and is protected and preserved in the majority of maxillectomies. Only when a cancer directly involves the eye socket is more occasionally needed — and if so, it is explained fully in advance.
“I'll sound nasal and never speak clearly again.”
Fact: Any change is usually temporary. Sealing the roof of the mouth with an obturator or reconstruction restores clear, non-nasal speech, and a speech therapist helps you adjust — most people speak clearly again once healing settles.
“I'll lose all my teeth and never smile again.”
Fact: Dental rehabilitation is a planned part of care. An obturator can carry a full set of teeth, restoring your smile and chewing; where the jaw is reconstructed, dental implants may be placed. A maxillofacial prosthodontist plans this from the start.
“A middle-class family can't afford upper-jaw cancer surgery.”
Fact: Because a maxillectomy treats oral cancer, eligible surgery may be largely covered under Aarogyasri and PMJAY at empanelled centres, and private insurance is accepted cashless. Our counsellors help you check eligibility and map out what you will actually pay.
“The surgery will spread the cancer.”
Fact: This is a common, harmful myth. Removing the cancer under controlled surgical conditions does not spread it. What actually causes harm is delay, which lets a treatable cancer grow and involve more of the jaw, palate or eye.
“Because I chewed gutka or tobacco, this is my fault and I'll be judged.”
Fact: There is no judgement here. Tobacco, gutka and areca nut are common causes of mouth cancer in our region, and our focus is entirely on treating the cancer and helping you recover — including gentle, non-judgemental support to stop, at your own pace.
“I'll be on a feeding tube for life.”
Fact: Any tube feeding is usually short-term, only while the mouth heals. Most people move from liquids to soft foods to a normal diet once the roof of the mouth is sealed, and return to eating by mouth with their family.
“An obturator plate will be uncomfortable and obvious.”
Fact: An obturator is custom-made to fit the roof of your mouth, is removable so it is easy to keep clean, and can carry a natural-looking set of teeth. A temporary one is often fitted at surgery so you can drink and speak sooner, later replaced by a permanent one.
“Reconstruction with my own tissue is experimental or too risky.”
Fact: Free-flap reconstruction is an established technique used routinely in head & neck cancer surgery. It rebuilds the roof of the mouth and the shape of the face with your own tissue, often in the same operation, and is planned carefully by a reconstructive team.
“The cancer will just come back, so surgery is pointless.”
Fact: Removing the cancer with a clear margin gives the best chance of control, and for many people it stays controlled. Regular follow-up checks catch any change early, when it is most treatable — and any radiation afterwards is a planned part of care, not a failure.
“Robotic surgery is the only good option, and CION doesn't have it.”
Fact: An upper-jaw maxillectomy is not a robotic operation — what matters is an experienced head & neck surgical team, careful reconstruction and dental rehabilitation. That is exactly what determines whether you eat, speak and look like yourself again.
“Home or herbal remedies can shrink the tumour instead.”
Fact: No home or herbal remedy is proven to cure upper-jaw cancer, and relying on one wastes the window when it is most treatable and most of the jaw can be spared. Tell your oncologist about anything you take so it can be used safely alongside proper treatment.
“A second opinion will offend my doctor or waste time.”
Fact: A second opinion is normal and welcomed in cancer care — it confirms the plan and gives you confidence about the obturator-versus-reconstruction choice. At CION it is free when you have a biopsy report, and it can be arranged quickly.
“Worrying about how I'll look and eat is vain — I should just be grateful to survive.”
Fact: These concerns are important, not vain. Eating, speech and appearance are central to your quality of life, which is why they are planned for from the very start — restoring them is part of treating the cancer, not an afterthought.
“If I need radiation after surgery, it means the surgery failed.”
Fact: Sometimes a course of radiation is added after surgery to give the best control — this is a planned part of care for certain cancers, not a sign anything went wrong. Your tumour board decides this in advance, based on what the surgery finds.
Why CION
Why choose CION for a maxillectomy in Hyderabad
Obturator & dental rehabilitation
Maxillofacial prosthetics to seal the roof of the mouth and restore teeth — the concern people fear most, planned from the start.
Free-flap reconstruction
Rebuilding the upper jaw and face with your own tissue where more is removed, to restore the roof of the mouth and appearance.
Upper-jaw-sparing where possible
A partial maxillectomy keeps as much of the upper jaw as the cancer allows, protecting eating and speech.
A tumour-board approach
Every case is planned by a head & neck multidisciplinary tumour board, so removal, reconstruction and rehab fit together.
Support without judgement
Compassionate, non-judgemental care — including gentle help to stop tobacco, gutka and areca nut, at your own pace.
Aarogyasri & care close to home
Oral cancer surgery is covered under Aarogyasri at empanelled centres; 35+ centres and Telugu-speaking teams.
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Recovering the ability to eat, speak and smile is as important as the surgery. At CION, reconstruction, prosthetics, dental and speech rehab, nutrition and emotional support are one coordinated plan.
Nutrition counselling
Weight, strength and general health through treatment and recovery. Learn more
Speech & swallow therapy
Therapy that restores clear speech and comfortable eating after surgery. Learn more
Dental rehabilitation
Obturators, teeth and implants to restore chewing and a natural smile. Learn more
Psychology counselling
Support for you and your family through the changes, confidence and worry. Learn more
Tobacco cessation
Gentle, non-judgemental help to stop tobacco, gutka and areca nut, at your pace. Learn more
Financial counselling
Aarogyasri, PMJAY and cashless insurance guidance so cost never blocks care. Learn more
FAQ
Maxillectomy in Hyderabad — frequently asked questions
What is a maxillectomy?
A maxillectomy is surgery to remove the part of the upper jaw (the maxilla) affected by cancer, with a margin of healthy tissue. Because the upper jaw forms the roof of the mouth, part of the operation is restoring the roof — with a custom plate (an obturator) or by rebuilding it with your own tissue. A partial maxillectomy removes only part of the upper jaw; a total maxillectomy removes the whole upper jaw on one side.
Will I be able to eat and drink normally after a maxillectomy?
Yes, for most people. Removing part of the roof of the mouth opens a gap to the nose, which is why it is sealed again — with an obturator plate or by rebuilding the area — so food and drink stay in the mouth. Eating starts with liquids and soft foods and progresses as you heal, guided by a dietitian and speech therapist. Most people return to a normal or near-normal diet.
What is an obturator?
An obturator is a custom-made plate that fits into the roof of the mouth, seals the gap left by surgery and can carry a full set of teeth. A maxillofacial prosthodontist makes it, and a temporary one is often fitted at the time of surgery so you can drink and speak sooner, later replaced by a permanent one. It is removable, so the area can be kept clean and checked easily.
Obturator or free-flap reconstruction — which is better?
Neither is simply better — it depends on how much upper jaw is removed. An obturator is a removable custom plate that seals the roof of the mouth and can carry teeth, often ideal after a partial maxillectomy. Free-flap reconstruction rebuilds the area with your own tissue and is used for larger removals, restoring the roof of the mouth and the shape of the face. Your team recommends the option that best restores eating, speech and appearance for your case.
Will my speech change or sound nasal after a maxillectomy?
Any change is usually temporary. Sealing the roof of the mouth with an obturator or reconstruction restores clear, non-nasal speech, and a speech therapist helps you adjust. Most people speak clearly again once the roof of the mouth is sealed and healing settles.
Will my face look different after surgery?
The aim is to preserve your appearance, and modern reconstruction makes a big difference. A partial maxillectomy restored with an obturator often leaves the face looking much as before. For larger removals, free-flap reconstruction rebuilds the shape of the face, and the eye is protected wherever possible. Your team discusses exactly what to expect for your situation beforehand.
Will I lose my eye in a maxillectomy?
In most cases, no. The eye sits above the upper jaw, and for the majority of maxillectomies it is protected and preserved. Only when a cancer directly involves the eye socket is more occasionally needed — and if so, your team explains it fully in advance and plans reconstruction and rehabilitation to support you.
Will I be able to get teeth back after a maxillectomy?
Yes. Dental rehabilitation is a planned part of maxillectomy care. An obturator can carry a full set of teeth, restoring your smile and chewing; where the jaw is reconstructed, dental implants may be placed. A maxillofacial prosthodontist plans this so you regain the ability to eat and a natural-looking smile.
What is the difference between a partial and total maxillectomy?
A partial maxillectomy removes only the part of the upper jaw containing the cancer — for example a piece of the hard palate or upper gum — and keeps the rest, so eating and speech are usually well restored. A total maxillectomy removes the whole upper jaw on one side, needed for larger cancers or those starting in the maxillary sinus. In both, the roof of the mouth is restored with an obturator or free-flap reconstruction.
How much does a maxillectomy cost in Hyderabad?
It depends on how much upper jaw is removed and how the roof of the mouth is restored — a partial maxillectomy with an obturator is an indicative rupees 1,30,000 to 2,40,000, while a total maxillectomy or one with free-flap reconstruction costs more. These are indicative private-hospital ranges, not a quotation. Because a maxillectomy treats oral cancer, eligible surgery may be largely covered under Aarogyasri / PMJAY at empanelled centres, and insurance is accepted cashless. CION gives an accurate written estimate after assessment.
Is maxillectomy covered under Aarogyasri or insurance?
It is treatment for oral cancer, so it is generally covered under Aarogyasri and PMJAY at empanelled centres, subject to eligibility, and by most health-insurance policies on a cashless basis. CION's counsellors check your policy and scheme eligibility and provide a written estimate before anything is planned.
How long does recovery take after a maxillectomy?
A maxillectomy, especially with reconstruction, involves a hospital stay while healing begins, sometimes with a short period of tube feeding. A temporary obturator is often fitted at surgery so you can drink and speak sooner. Eating progresses from liquids to soft foods to a normal diet over the following weeks, and dental and speech rehabilitation continue as an outpatient. Your team explains each step in advance.
Will I need a feeding tube after the surgery?
Sometimes, but usually only for a short time while the mouth heals. A temporary obturator often seals the roof of the mouth straight away so you can drink sooner, and most people move from liquids to soft foods to a normal diet and return to eating by mouth. Any tube feeding is a temporary support, not a permanent one for the large majority.
What is a maxillofacial prosthodontist and why do I need one?
A maxillofacial prosthodontist is a dental specialist who makes the obturator — the custom plate that seals the roof of the mouth and can carry teeth — and plans your dental rehabilitation. Because restoring the roof of the mouth and your teeth is central to eating, speaking and smiling after a maxillectomy, this specialist is part of your team from the very start.
Will I need radiation or other treatment after the maxillectomy?
Sometimes. For certain cancers, a course of radiation is added after surgery to lower the chance of it returning; occasionally other treatment is recommended. This is a planned part of care decided by the tumour board based on what the surgery finds — not a sign the surgery failed. Your team explains any recommended treatment clearly.
Is a maxillectomy a dangerous operation?
A maxillectomy, especially with reconstruction, is a significant operation, but it is a well-established one that follows a clear, well-supported path. It is planned by a head & neck tumour board and carried out by experienced surgical oncologists, with careful attention to removing the cancer completely while protecting the eye, and restoring eating, speech and appearance.
I chew gutka or tobacco — will I be judged or refused treatment?
Not at all. Tobacco, gutka and areca nut are among the most common causes of mouth cancer in our region, and our care is entirely non-judgemental. The focus is on treating the cancer and getting you back to eating and speaking well, with gentle support to stop if and when you are ready, at your own pace.
Can upper-jaw cancer come back after surgery?
Removing the cancer with a clear margin gives the best chance of control, and for many people it stays controlled. Regular follow-up checks are how your team spots any change early, when it is most treatable. Radiation is sometimes added after surgery for certain cancers to lower the risk of return — a planned part of care. No treatment promises zero risk, but follow-up gives a clear early-warning system.
Which hospital or doctor is best for a maxillectomy in Hyderabad?
Look for a cancer centre with an experienced head & neck surgical oncology team, a maxillofacial prosthodontist for the obturator and dental rehabilitation, reconstructive (free-flap) capability, and multidisciplinary tumour-board planning. CION Cancer Clinics offers these across 35+ centres in Telangana and Andhra Pradesh, with Aarogyasri and insurance counselling. You can request a specific surgeon when booking.
Explore
Explore oral & head-and-neck cancer care at CION
Surgery, reconstruction, tests, recovery and cost around upper-jaw and oral cancer. Tap any topic to read more.
Early answers change outcomes — and how much of your jaw can be spared. Book a free consultation or second opinion at any of our 9 Hyderabad clinics — part of 35+ centres across Telangana & Andhra Pradesh.
Medical disclaimer: This page provides general information about maxillectomy (upper jaw cancer surgery) and is not a substitute for professional medical advice, diagnosis or treatment. Eating, speech and appearance can be restored, the eye is preserved in most cases, and upper-jaw-sparing is used where the cancer allows — outcomes vary by individual. Costs shown are indicative only and not a quotation. Always consult a qualified head & neck surgical oncologist about your individual care. Content is periodically reviewed by CION's medical team.
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