Hello, Reduced mouth opening after oral cancer flap surgery is usually due to post surgical fibrosis/scarring (trismus), muscle tightness, radiation effect (if taken) and dryness. Since your opening is around 20 mm , early and regular rehabilitation is very important to prevent permanent restriction First, congratulations on stopping pan masala- that is one of the most important steps for long term recovery and preventing recurrene Ayurvedic + rehabilitation 1 ) Most important= Daily mouth opening exercises This gives the best improvement over time Jaw stretching -slowly open mouth till mild stretch (not severe pain) -hold 10 seconds -repeat 10-15 times -4-5 sessions daily Finger/ Ice-cream stick exercise Gradually increase spacing using stacked tongue depressor/ice cream sticks under the therapiest Consistency matters more than force Ayurvedic Internal support 1) Gandhak rasayana= 1 tab twice daily after meals =supports healing and tissue recovery 2) Yogaraj guggulu= 1 tab twice daily after meals =helps stiffness, fibrosis tendency, and vata imbalance 3) Ashwagandha capsules= 1 cap twice daily with warm milk =helps recovery, muscle flexibility, strength, fatigue For dryness and swallowing difficulty 4) Yashtimadhu churna= 1/2 tsp with lukewarm once daily =helps oral dryness, throat healing, swallowing comfort Local care 1) Sesame or coconut oil pulling -2-3 minutes gently once daily Do Not do vigorous gargling Helps lubrication and dryness 2) Turmeric + pinch of rock salt warm water gargle -1-2 times daily for oral hygiene Diet -soft warm foods -soups -moong dal -protein rich foods -smoothies -ghee in small amount Avoid permanently -pan masala -tobaccoo -smoking/alcohol -very spicy packaged foods Important follow up because this is post-oral cancer surgery please continue regular -oncologist follow up -oral surgeon review -screening for recurrence If mouth opening keeps reducing,sometimes -physiotherapy devices -steroid injection -laser release -or surgical fiborosis release may be needed Seek urgent consultation if -new ulcer -bleeding -rapidly increasing tightness -severe swallowing difficulty -weight loss -neck swelling At 1-3 months after surgery there is still good scope for improvement if exercises are done consistently every day. The combination of -jaw physiotherapy -fibrosis reduction -lubrication/dryness care -nutrition Works much better Improvement is usually gradual over 3-5 months, not immediate Do follow Hope this might be helpful Thank you
For better results Consult with oncologist
