Congenital laryngeal clefts are rare. This paper reports on the manage
ment of 3 patients with Type 2 laryngo-tracheo-oesophageal cleft. One
patient died following tracheopexy after successful cleft closure. Pro
gnosis is related to the presence of other major anomalies, the early
diagnosis of the lesion and institution of appropriate respiratory and
nutritional care prior to correction of the defect. A greater awarene
ss of the condition combined with aggressive diagnostic endoscopy shou
ld result in early diagnosis and improved survival.