Objective      To summarize the experience on reconstruction of cervical esophageal stenosis with platysma myocutaneous flap.       Methods      Twenty-nine cases suffered from cervical esophageal stenosis which affected 2.0-4.5 cm in length

including 21 cases of cervical stoma stenosis after esophagus replacement with colon (17 cases transferred from other hospitals)

2 cases of cervical stoma stenosis after esophagus replacement with stomach

3 cases of local cervical stoma stenosis after esophageal burns

2 cases of iatrogenic stenosis

1 case of esophagus blocking after sharp blade transsection on cervical esophagus. The stenosis was cut open to 1 cm beyond its upper and lower edges. The platysma flaps about (4-5) cm×(6-7) cm  in size were sutured by introversion with the edges of stenosis.       Results      All the flaps survived and no death occurred due to operation process. Three fistulae occurred and were healed after dressing changes. The follow-up lasting 6 to 192 months (average 78 months) was performed. Two cases of stenosis occurred

1 case was given esophageal dilatation and another received esophagoplasty. All the patients could take food by mouth.       Conclusion      The key of operation is to guarantee good blood supply of platysma flap in anatomy and dissection.