Vimawala S, Topf MC, Savard C, et al. - In this retrospective chart review involving 278 patients, researchers determined which patient or surgical factors affect the likelihood of unplanned readmission (within 30 days) after total laryngectomy (TL). The study sample consisted of all patients who had TL at a single institution from April 2007 through August 2016. To identify risk factors for unplanned readmission, univariable and multivariable logistic regression were performed. Pharyngocutaneous fistula, neck abscess, and wound breakdown were the most common reasons for readmission. Data reported that average time to unplanned readmission was 11.2 days. Fistula, postoperative pneumonia, and history of cardiac disease were independently linked to an increased risk of 30-day unplanned readmission on multivariate analysis. However, return to OR on initial admission was linked to a lower risk of unplanned readmission. In a small but significant number of TL patients, unplanned readmission takes place. Patients with 30-day unplanned readmission may be at risk of delay in adjuvant therapy initiation.