A review of 76 cases of electical injuries in the head and neck was performed. Sixty-two patients(18.6%) were injured by high voltage electrical current more than 1,000 volt. And 14 patients(18.4%) by low voltage electrical current not more than 1,000 volt. Direct electrical injuries were in 32 patients(42.1%) and arc burns in 44 patients(57.9%). All the patients showed 195 regions of burn in the head and neck. In 12 patients(15.8%) 17 cases of other damages were associated with electrical burn(CNS-7, Kidney rupture-3, others-7). Forty-four patients(57.9%) suffered 88 major complications and 2 patients(2.6%) died from their complications. EKG abnormalities occurred in 38 patients(50%), including major cardiac arrhythmias and myocardial injuries in 25 patients, which were returned to normal range within 2 weeks except in one patient. Eighteen patients(23.7%) developed 31 cases of delayed complications and/or disabilities, of which scar contractures were 13 cases, cataracts 7 cases, skull osteomyelitis 6 cases, and functional disabilities 5 cases presumed to have resulted from nerve damage by electrical current. The wide variety of electrical injuries necessitates individualization in treatment. Electrical burn, especially when head and neck are involved, must be managed by multidisciplinary team approach from early phase in order to minimize complications and sequelae, and for good final function, good cosmetic appearance, and early return to a productive life. Reconstruction by flap surgery of the loss or defect of soft tissue and bone in the head and neck, resulted from electrical injury, was helpful in many cases.