Percutaneous transcricothyroid membrane catheterization of the bronchial tree for bronchographic examination is simple and safe (5). For entrance into small subsegmental branches, catheters of various curvatures are required. It is often necessary to exchange various preshaped catheters when studying several subsegmental branches, thus prolonging the procedure and increasing the possibility of complications. The use of a catheter tip deflector system obviates the need for such substitution. Following the introduction of guides for angiography (4, 6), application of these technics for controlling catheters in bronchography was suggested (7). The use of a catheter tip deflector system2 is ideally suited for regulating and varying the curvature of any catheter following its percutaneous introduction through the cricothyroid membrane. The system consists of a tip-deflector handle and a short (35 cm) Teflon-coated wire (O.D. 1.14 mm). The tip-deflecting guide wire allows controlled curvature from 0 to 180° and has excellent rotational torque control. A soft, pliable, thin-walled polyethylene catheter material is used (6.3–7.1 F).2 Larger sizes might be employed for bronchial brushing technics. Technic Preoperative medication for the average patient includes codeine 1 gr, Benadryl 50 mg, and atropine 1/120 gr intramuscularly, one-half hour prior to the examination. Breakfast or lunch is withheld, depending upon the time of the examination. The procedure is carried out with aseptic technic and with the patient in the upright position. The skin is prepared with tincture of quaternary ammonium antiseptic 1:500. The skin over the cricothyroid membrane is infiltrated with 1 ml of 2 per cent lidocaine, using a 25-gauge needle. The cricothyroid membrane is punctured with a 21-gauge needle, and 2 ml of lidocaine is instilled into the trachea. A 3-mm stab wound is made in the skin overlying the cricothyroid membrane with a No. 11 Bard Parker blade (Fig. 1, A). A 16-gauge 11/2-inch thin-walled needle with a 50° curve2 is employed to puncture the cricothyroid membrane (Fig. 1, B). Puncture is facilitated by grasping the larynx firmly between the thumb and forefinger of the left hand and using gentle pressure to insert the curved tracheal needle. The needle is inserted as far as the hub, and air is withdrawn to ensure that the tip is free in the lumen of the trachea. An additional 2 ml of 2 per cent lidocaine is now instilled into the trachea. While the hub of the needle is held in the left hand, the soft end of the guide wire (60 cm fixed core, O.D. 0.889 mm, Teflon-coated) is inserted through the needle into the trachea for a distance of approximately 10 cm (Fig. 1, C). The curved tracheal needle is then withdrawn over the guide wire with the right hand, and the wire is kept in place with the thumb and forefinger of the left hand (Fig. 1, D).