Two patients underwent tracheal resections measuring 5.5 and 4.5 cm. In each case, the trachea was anastomosed end to end after mobilization. In the first patient, resection was for primary tracheal carcinoma, and despite local recurrence he is alive five years after surgery. The second patient had resection of a benign stricture. Postoperatively, she developed narrowing at the suture line. A local injection of triamcinolone acetonide at the stricture site has eliminated the need for repeated dilatations and the patient is asymptomatic.