The Opitz BBBG syndrome is characterized by hypertelorism and (in male
patients) hypospadias, in addition to a number of midline abnormaliti
es: posterior laryngeal cleft, strider, swallowing dysfunction, cardia
c defects, imperforate anus, and urinary tract and CNS anomalies. Inhe
ritance is autosomal dominant (McKusick number 145410) with partial m
ale sex limitation in most pedigrees. We report a Dutch family with Op
itz BBBG syndrome in which the proband developed late-onset symptoms o
f a structural laryngeal abnormality.