Defects of the hypopharynx (4 cases), pharyngeal esophagus (5 cases), pharyngeal tongue base (2 cases), cervical esophagus (3) and cervico-facial skin were immediately reconstructed, the mean skin defect size was 10 cm × 17 cm; the smallest flap was 6 x 10 cm and the largest size was 11 x 26 cm.