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Concurrent neck dissection was performed in 85% of patients. Complications were studied in relation to age, T and N stage, previous tracheostomy, neck dissection, margins, reconstruction, tracheoesophageal puncture, and surgeon. Complication treatment and hospitalization were also evaluated. The overall complication rate was 30.7%, with 29.2% major and 6.5% minor complications. The mortality rate was 0.6% (3\/471). Pharyngocutaneous fistula was the most frequent wound complication (21%), followed by wound infection (4.2%) and hemorrhage (2.3%). Pneumonia (1.4%) and embolism (0.4%) were the most frequent medical complications. Hypopharyngeal tumors, neck dissection, and extended procedures had a significantly higher rate of complications. Complication causes, prevention, and treatment are discussed.<\/jats:p>","DOI":"10.1016\/s0194-59980070020-9","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T13:24:04Z","timestamp":1664371444000},"page":"892-898","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Complications after Total Laryngectomy in Nonradiated Laryngeal and Hypopharyngeal Carcinomas"],"prefix":"10.1002","volume":"122","author":[{"given":"Jes\u00fas","family":"Herranz","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Hospital Juan Canalejo La Coru\u00f1a Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adolfo","family":"Sarandeses","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Hospital Juan Canalejo La Coru\u00f1a Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario 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