Abstract Objective: To evaluate the results of the excision and chemotherapy treatment methods for ALHs located on the arytenoids. Study design: retrospective study. Methods: Twenty-six ALH patients in 29 different cases were enrolled in the study. Some patients were treated more than once. Twenty-nine cases of ALHs treated with either chemotherapy or excision were studied to assess the efficacy of both treatments. Results: All the patients in the ALH excision group were cured, and the ALHs did not recur. The mean lumen constriction score for the chemotherapy group was 2.95. The score for the ALH excision group was higher than that for the chemotherapy group. Conclusion: Both chemotherapy and excision are safe and effective treatments for ALHs located on the arytenoids. On the condition that the ALH is well exposed and can be completely removed, ALH excision surgery is a better method to treat ALHs located on the arytenoids.