Introduction. The most common pediatric head and neck malignancies include nonHodgkin lymphomas, Hodgkin lymphomas, rhabdomyosarcomas, thyroid malignancies, nasopharyngeal carcinomas, salivary gland malignancies, and neuroblastomas. Malignant tumors of the temporal bone have an incidence in adults of less than 0.2% among all head and neck cancers, primary temporal involvement without systemic involvement is rare. Materials and methods. We present the experience of Pediatric Otorhinolaryngology Department ,Institute of Mother and Child, Emilian Coţaga Clinic during last 3 years. And discuss 2 cases, a 6-year-old child with primary non-Hodgkin’s lymphoma of the temporal bone, paresis of facial nerv, and a 4-yearold patient with cerebral angiosarcoma, paresis of facial nerv. Conclusion. Incidence of head and neck tumors in pediatric age group is relatively rare, but they are on the rise, childhood cancer is second only to accidental trauma as a cause of death in children over 5 years of age, acording the United States National Cancer Institute. Children with tumors of the head and neck have nonspecific symptoms, the diagnosis often is missed until the disease is at an advanced stage. The clinician must retain a high index of suspicion, persistant and severe symptom, should be considered as a malignant presentation. Diagnosis and treatment need complex multidisciplinary atentions.