Is Cheek Tumor Removal Considered a Minor or Major Surgery?

Is cheek surgery considered a minor procedure?

Hello Doctor: About a month ago, I discovered a tumor approximately 2.3 centimeters in size on my cheek in front of my right ear.
When I visited the doctor the day before yesterday, they said that this tumor needs to be surgically removed.
I would like to ask if this is considered a minor or major surgery? After the surgical removal, is there a chance that it will grow back? Will there be any long-term side effects? Please respond quickly, thank you.

Chen, 30~39 year old female. Ask Date: 2002/06/19

Dr. Lin Kecheng reply Surgery

The cheek area, especially in front of the ear, is where the facial nerve passes through.
A tumor measuring 2.3 centimeters in this location may damage the facial nerve, potentially leading to facial asymmetry or drooping of the mouth corner.
Therefore, the focus of the surgery is not on the size of the tumor, but rather on whether there will be any postoperative sequelae or complications, which can sometimes be unavoidable.
However, if a plastic surgeon or an experienced general surgeon performs a complete excision, recurrence is unlikely.
This surgery is considered a delicate procedure.

Reply Date: 2002/06/19

More Info

The classification of cheek tumor removal as either minor or major surgery largely depends on several factors, including the size and type of the tumor, the specific surgical technique employed, and the overall health of the patient. In general, a tumor of approximately 2.3 cm located on the cheek may be considered a minor surgical procedure, especially if it is performed under local anesthesia and does not involve extensive dissection or reconstruction. However, if the tumor is deeply embedded, requires significant tissue removal, or involves surrounding structures such as nerves or blood vessels, it could escalate to a major surgical procedure.

When it comes to the surgical removal of tumors, the primary goal is to achieve complete excision to minimize the risk of recurrence. The likelihood of the tumor growing back after removal depends on several factors, including the tumor's histological type, whether it was completely excised, and the presence of any underlying conditions. For benign tumors, the chance of recurrence is generally low if the tumor is fully removed. However, some types of tumors, even if benign, can have a tendency to recur, so it is essential to follow up with your healthcare provider for regular monitoring.

As for potential complications or sequelae from the surgery, these can vary based on the tumor's location and the surgical technique used. Common risks associated with cheek tumor removal may include:
1. Infection: As with any surgical procedure, there is a risk of infection at the incision site.

2. Scarring: Depending on the surgical technique and the size of the incision, scarring may occur. Surgeons often aim to place incisions in less visible areas to minimize cosmetic impact.

3. Nerve Damage: If the tumor is near facial nerves, there is a risk of temporary or permanent nerve damage, which could affect facial movement or sensation.

4. Bleeding: There may be some bleeding during or after the procedure, which is typically manageable.

5. Hematoma: A collection of blood outside of blood vessels may occur, leading to swelling and discomfort.

To ensure the best outcome, it is crucial to follow your surgeon's pre-operative and post-operative instructions carefully. This includes attending follow-up appointments to monitor healing and detect any signs of recurrence early.

In summary, while the removal of a cheek tumor of 2.3 cm is generally considered a minor surgery, the specific classification can vary based on individual circumstances. It is essential to have a thorough discussion with your surgeon regarding the nature of the tumor, the surgical approach, and any potential risks or complications. Regular follow-up care is also vital to monitor for any signs of recurrence and to ensure optimal healing.

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