A: Recurrentv pre- trachea Ca.
Left buccal Ca .T4bN0 M0 stage IVb post- op
Right palatal Ca. ( pT4bN0M0 stage IVa) s/p OP and RT
Recurrent tumor invaded into the manddibular gingiva and bone that extend to the retromolar area.
P: NPO and NG decompression.
Tap water enema st.
IV fluid support.