Aponte-Ortiz JA, Greenberg-Worisek AJ, Marinelli JP, et al. - Researchers conducted this retrospective analysis to compare clinical, surgical, and cost outcomes in patients undergoing head and neck free-flap reconstructive surgery in the setting of postoperative intensive care unit (ICU) against general floor management. In total, 502 patients were involved, with 82 managed postoperatively in the ICU and 420 on the general floor. When compared to general floor care, postoperative management of head and neck oncologic free-flap patients in the ICU does not significantly improve major postoperative outcomes or free-flap complications, but it does increase short-term costs. When there is no cardiopulmonary compromise, general floor management may be appropriate.