Pharyngeal malignancies are primary tumors arise in the head and neck. These tumors involves part of nasopharynx, oropharynx and hypopharynx Method. All patients with histologically proven malignant lesions in the head and neck region attended the Otorhinolaryngology and dental department of MNH between 1st April 2015 and 31st December 2015 were enrolled. Special designed questionnaire was used. Results: A total 438 patients with head and neck malignancies were recruited. Ones with the pharyngeal malignancies were 114. Male were 79 (69.3%) and ratio of Male to female was 2.3 to 1. Majority of the patients presented at 61yrs and above with mean age of 55.7. Tobacco use alone were 16(14%); Male were 75%. Alcohol alone was consumed by16.7% of the patients consumption was equal among the sexes. The patients did both smoking and alcohol consumption were 49(43%). On combine the risk factors alcohol, tobacco or both (alcohol and tobacco) were 84(73.7%). This was noted to be high in relation to other risk factors. The ones nether smoked nor take alcohol were 30 (26.3%). Leading involved area with malignant was oropharynx by 55.3%, hypopharynx 27.2% and nasopharynx 17.5%. Histological leading type was the squamous cell carcinoma by 77.2%, kaposis sarcoma 7.9%, lymphoma 5.3%, undifferentiated carcinoma 5.3%. Conclusion: This study shows that the prevalence of the pharyngeal malignancies among head and neck malignancies was 26%. Squmous cell carcinoma been the predominant histological diagnosis in both sexes and age.