Laryngotracheoesophageal clefts (LTEC) are uncommon congenital anomalies that occur when the primitive foregut fails to separate into the esophagus and trachea. The surgical repair strategy involves separation or partition of the common tract. Reported here is the authors' experience with 2 cases of LTEC (type 3) repaired with bilateral musculomucosal flaps through the anterior wall of the trachea.