How do you manage a stenotic airway following SBRT or hypofractionated radiation to a central lung tumor?

I haven't read much about this in the literature and my quick search doesn't reveal much about it either. So, I'll give you my clinical wisdom on it and you can take it with a bunch of grains of salt.

The issues that I've faced with a stenotic airway have been in the context of shortness of breath and the sense that one airway (usually a more centrally located one) is the culprit. If I could just open that stretch up, the patient's SOB would improve. In that setting, I've hit up my colleagues for help. I would say 1/2 the time they find the stretch of airway obstructed is too long for dilatation and they talk me out of it. Those patients are just managed medically. For the few that we've treated with dilation, the reinflation has not been i...