Three patients with the typical features of Larsen's syndrome are desc
ribed. All three developed severe respiratory symptoms caused by a con
genital subglottic stenosis. Tracheotomy and treatment of the stenosis
by means of laryngotracheoplasty resulted in complete collapse of the
cricoid cartilage and the proximal tracheal skeleton, Lack of rigidit
y of the laryngeal and tracheal cartilages in patients with Larsen's s
yndrome could well be responsible for this failure. Surgical treatment
consisted of resection of the stenotic and collapsed areas and end-to
-end anastomosis. This therapy was eventually successful in all three
patients.