One of the most versatile flaps for reconstruction following moderate tissue loss in the intraoral region is cervical island skin flap.Here we report two cases in which this flap was used for immediate reconstruction of the oral lining.In one of them the procedure was as described by Farr., et al.In the other, the procedure was modified as follows;the cervical island skin flap donor site was covered with a pedicle skin flap including the platysma and subcutaneous tissue in the clavicle region.This procedure proved to relieve tension of the cervical region and offers more neck mobility.