A 44-year-old female who suffered from tuberculous tracheobronchial stenoses was treated by the combined use of a self-expanding metallic spiral Z-stent for the trachea and a Dumon silicone stent for the left main bronchus. Before dilatation, %FVC, FEV_<1.0>%, and %PEF was 88%, 63%, and 34%, respectively. After dilatation, stridor disappeared and pulmonary functions improved 2 months later with 103% %FVC, 74% FEV_<1.0>%, and 57% %PEF. The disadvantage of the Dumon silicone stent was the adhesion of sputa to the surface of the tube early after insertion. Also, the expanding force of the Dumon stent was not strong enough to support tracheal recoil. On the other hand, the metallic stent enabled smooth excretion of sputa and maintained the respiratory tract satisfactorily, with good epithelization over the stent.