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Pharyngo/laryngo-cutaneous fistula in the neck is a troublesome complication after penetrating injuries. The objective of this report is to describe the utility of a sternocleidomastoid musculocutaneous flap as a viable tissue buttress for repairing a frank clinical fistula following penetrating injuries to the neck. Materials and Method: The procedure was done in three consecutive patients who clinically presented with fistulous communication of either pharynx or larynx. The etiology in alldoi:10.18231/2455-846x.2017.0009 fatcat:726x4m6hhjez7hshdm3qqzvq3q