Introduction: Head and neck cancers are among the 10 most common cancers globally and are the most common cancers in developing countries, especially in Southeast Asia. In India, it accounts for one fourth of male cancers and one tenth of female cancers. Airway obstruction is one of the major morbidities caused by these tumours. Prompt relief of the obstruction would not just save lives but also makes delivery of definitive treatment more effective. The severity of symptoms depends upon the site of obstruction, degree of obstruction and also other physiological factors. Here, we attempted to analyse the correlation between the degree of obstruction at the level of larynx with outcome of the patients in terms of tracheostomy rates and completion of definitive treatment without tracheostomy.