【Abstract】Objective To improve the diagnostic consciousness and the prevention and treatment about suspected arytenoid subluxation during perioperative period. Methods A contemporary review of the 19 patients’ medical records ; making an analysis about the clinical symptoms and signs of 19 suspected arytenoid subluxation cases during perioperative period; finding out the possible associated risk factors and putting forward some prevention and treatment strategies . Results The initial symptom of 19 patients is hoarseness or sore throat at 1st or 2nd days after the general anesthesia , they are diagnosed as suspected arytenoid subluxation by otolaryngology physicians or electronic laryngoscope . Six cases accepted the manipulation of the restoration of normal movement of arytenoids and vocal fold , two cases out of 6 were corrected by twice . Four patients’ symptom of hoarseness was alleviated after the operation , while another two cases’ symptom wasn’t . The rest of 13 patients were asked to do more voice practice , but not given any special treatment . Conclusions Medical history and electronic laryngoscope are helpful to diagnose the suspected arytenoid subluxation early. but laryngeal electromyography is needed to make a final diagnosis .The key points of treatment of arytenoid subluxation are early detection , early diagnosis. The preferred treatment is arytenoids joint restoration ;and steroid hormones and indomethacin have an important supporting role in the treatment .