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Patients with oral malignancy often have associated trismus. Trismus is a debilitating condition that needs to be treated adequately with the release of fibrosis and interposition of vascularized tissue to provide long-term improvement in the mouth opening. Treatment of oral cancer in patients with severe trismus becomes challenging because of difficult access and further deterioration of mouth opening following treatment of the malignancy. Herein, the planning of access to oral cancer and management of trismus in 9 oral cancer patient