Background:The large defects resulting from head and neck tumour surgeries present a reconstructive challenge to surgeons.Although numerous methods can be used,they all have their own limitations.In this paper,we present our experience with cervicofacial and cervicothoracic rotation flaps to help expand the awareness and application of this useful system of flaps.Methods:Twenty-one consecutive patients who underwent repair of a variety of defects of the head and neck with cervicofacial or cervicothoracic flaps in our hospital from 2006to 2009were retrospectively analysed.Statistics pertaining to the patients’ clinical factors were gathered.Results:Cheek neoplasms are the most common indication for cervicofacial and cervicothoracic rotation flaps,followed by parotid tumours.Among the 12patients with medical comorbidities,the most common was hypertension.Defects ranging from 1.5cm × 1.5cm to 7cm × 6cm were reconstructed by cervicofacial flap,and defects from 3cm × 2cm to 16cm × 7cm were reconstructed by cervicothoracic flap.The two flaps also exhibited versatility in these reconstructions.When combined with the pectoralis major myocutaneous flap,the cervicothoracic flap could repair through-and-through cheek defects,and in combination with a temporalis myofacial flap,the cervicofacial flap was able to cover orbital defects.Additionally,95% patients were satisfied with their resulting contour results.Conclusions:Cervicofacial and cervicothoracic flaps provide a technically simple,reliable,safe,efficient and cosmetic means to reconstruct defects of the head and neck.