52051 - Extensive Soft Tissue Tumour Removal (No Graft)

The need for extensive excision of a tumour from soft tissue—including muscle, fascia, and connective tissue—in the oral and maxillofacial region without a graft arises when a significant soft tissue mass, such as a sarcoma or large benign growth, requires complete removal to eliminate pathology and prevent recurrence, while the defect can heal without additional tissue replacement. Performed in a hospital under anesthesia with assistance, this procedure targets deep, expansive tumours that threaten function or health, necessitating a thorough approach beyond simple excision. It is indicated for cases where the lesion’s size or aggression impacts critical maxillofacial structures like muscles or nerves.

Specific scenarios include:

• Soft tissue malignancy: A sarcoma in the cheek muscle might invade nearby tissues, needing extensive excision to ensure clear margins.
• Large benign tumours: A massive lipoma in the neck affecting movement requires removal to restore comfort and function.
• Chronic complications: A growing tumour causing pain or pressure on facial nerves needs excision to prevent permanent damage.
• No graft feasibility: Smaller defects after removal can close naturally or with local tissue, avoiding complex reconstruction.

For instance, a patient with a 5 cm sarcoma in the masseter muscle might need this to stop progression and preserve jaw function, with the site healing via secondary intention. In hospital settings, an elderly patient with a large benign neck tumour could benefit from this to relieve pressure, avoiding grafts due to frailty. The assistant ensures precise dissection, while the extensive approach eliminates all tumour tissue, making this service critical for managing significant soft tissue pathology without added complexity, balancing efficacy and recovery.

Surgeons undertaking extensive excision of a tumor from the patient’s soft tissue (muscle, fascia, or connective tissue) under anesthesia with assistance, without grafting, deliver impactful benefits. A key advantage is the removal of extensive pathology. This thorough approach eliminates the patient’s large or invasive tumor, alleviating symptoms like pain or restricted movement—vital for 'soft tissue tumor removal benefits.' It also restores function by clearing affected tissues, ensuring the patient regains normal use of the area. Furthermore, it prevents recurrence by excising the tumor comprehensively, reducing the likelihood of regrowth. For surgeons exploring 'extensive tumor excision advantages,' this procedure ensures patients benefit from pathology elimination, functional restoration, and recurrence prevention, offering a powerful, graft-free solution for soft tissue tumors.

Recovery of 3-5 weeks with swelling and pain; hospital monitoring may be needed.