Twenty patients under 20 years old age with malignant head and neck tumors were treated at Kurume University Hospital between 1979 and 1998. There were eight males and twelve females and the mean age was 14 years old. Histologically, rhabdomyosarcoma and papillary carcinoma were observed in 5 patients, squamous cell carcinoma in 4 patients, neuroblastoma and malignant lymphoma in 2 patients, and Langhans cell histiocytoma and leiomyosarcoma in 1 patient. Their 5-year survival rate was 82.6%. Team practice is required to treat juvenile patients with malignant head and neck tumors.