Malignant melanoma is a cancerous condition of the melanocytes. These cells are found in the basal layer of the epidermis, in the mucous membrane, and in the eye. Cutaneous and mucosal melanomas of the head and neck are rare. The purpose of this study is to review the outcome of patients with melanomas of the head and neck over a span of 7 years and to determine the patterns of primary site, age, sex and metastases. Twenty-four patients were included in this analysis. There were 11 men and 13 women. Their ages ranged 19 to 78 years old with a mean of 56 years old. Nine patients presented with primary tumors in the nasal cavity or paranasal sinuses, 5 in the oral cavity, 2 in the oropharynx, 2 in the eyelid, 1 in the hypopharynx, 1 in the larynx and 4 in the metastatic neck nodes with unknown primary sites. Nine patients(37.5%) presented with metastatic neck nodes.