On reviewing the past history, it was revealed that patient
complained of oral ulcers on left mandibular gingival for
1 year. He was diagnosed with squamous cell carcinoma of
left mandibular alveolus. He underwent commando surgery
and postoperative radiotherapy - 60 Gy/30#/6 weeks. He
was under regular follow-up with surgical oncology team,
when suddenly he started complaining of increase in pain
in left submandibular area. CT scan confi rmed a fracture
in left mandible. His pain medications stepped up from
WHO ladder I to WHO ladder II.