<正>Objective: To introduce the experiences in the application of island myoculaneous flap for challenging wound on cervico-thoracic region. Methods: Different myocutaneous flaps were selected according to the location

peculiarity and etiological factor of wound. There were 28 cases of island pectoralis major island myocutanuous flaps

34 cases of latissimus dorsi island myocutaneous flaps. 19 cases of trapizius island myocutaneous flaps and 17 cases of rectus abdominis island myocutaneous flaps in this report. Results: All 98 patients with challenging wound on cervico-thoracic region were successfully treated with this method without complications

and obtained functional and cosmetic effectiveness. Conclusion : Challenging wounds in cervico-nuchal region can be repaired with pertoralis major island myoculaneous flap

latissimus dorst island myocutaneous flap and trapizius island myocutancous flap

while challenging wounds in thoracic region can be repaired with latissimus dorsi island myocutaneous flap and rectus abdominis island myocutaneous flap. Satisfactory functional and cosmetic results can be obtained.