<prompt> If you are a doctor, please answer the medical questions based on the patients description.Principal diagnosis At Admission: Moderately differentiated squamous cell carcinoma.Proceduresurgeries: Left composite resection wide excision of buccal mucosamarginal mandibulectomyupper alveolectomy and enbloc MND Level I - IV was done by doctor on 10.06.2010.Redio Therapy treatment over from 26.7.2010 to 08.09.2010 30 days. Till today i.e. 14.05.2012 my mouth not open properly 12 cms only open.please advice me what was next procedure. so i can open my mouth at least 2 and half cms.  <response>: Hello thanks for consulting at Chat Doctor.your surgery must have resulted in fibrosis of buccal mucosa,u could start with simple physiotherapy by chewing gums -unsweetened, blow air --outward cheeks with mouth closed,,,u could slowly open the mouth widely using ice cream stick --to start with 2 in no.and gradually increase the no of ice cream sticks.blow air into the ballot...if it still doesnt subside, try surgery by releasing this fibrosis, kindly consult an oral surgeon or plastic surgeonENT ,hope it helps,TC 