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To investigate complication rates in elderly cancer patients undergoing major head and neck surgeries. A retrospective, matched-control, analysis. For each elderly (≥70 years) patient, a younger, (70 years) patients were matched based on ****, tumor location, disease stage, and operation time. Post-operative complication and survival analyses were performed. Of 225 patients, 75 (33.3%) were elderly (mean age 76.2 (70-88) years) and compared with a match control group (53.2 (23-69) years). A higher rate of cardio-vascular comorbidity