AIMS AND OBJECTIVES: 1. To study the incidence of various neck injuries in patients attending ENT OPD/admitted in ENT ward. 2. To evaluate the distribution in age, sex, modes of presentation and nature of injury (suicidal, homicidal or accidental) 3. To categorize neck injuries according to zones of involvement. 4. To study cases of neck injuries where tracheostomy was needed/blood transfusion was required. TYPE OF STUDY: A prospective clinical study. MATERIALS AND METHODS: Patients admitted in ENT WARD/attending ENT OPD, GMCH, Guwahati with neck injuries are selected for the present study. A prospective study is conducted over the selected group for their age, sex, modes of presentation and their investigations. Patients requiring tracheostomy in neck injuries are also included. Study on various treatment modalities either conservative or surgical is done. OBSERVATION AND RESULTS: The neck injuries were more common in males and in most of the cases belonged to lower socioeconomic status. Homicidal intent was most common with edged weapon as the choice. Penetrating wound was seen to be most common type. Commonest mode of presentation was bleeding. The most common investigation done was blood grouping and hemoglobin. In maximum cases, repair of soft tissue was done. Morbidity with left vocal cord paresis in l case and facial palsy in l case were observed. Mortality in our study was 1.31%. CONCLUSION: The increase in incidence of neck injuries is due to urban violence, psychological stress or illness and accidents. Open neck injury was more common than close injury. While managing the cases we found that clinical examination is more important than any other investigation. Management of neck injuries requires multidisciplinary approach. Consultations were taken from the department of CTVS, Psychiatry, Neurology and other departments as per requirement.