Recovery

Tracheostomy Tube or Stoma: Your New Airway

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If you have a tracheostomy tube

Your tracheostomy (trach) tube has been chosen to fit well and work right for you. You’ll learn how to keep it clean and clear. Often, a trach tube is needed for only a short time. Your surgeon will tell you how long to use the tube. If you don’t need a new airway after surgery, the hole in the front of your throat will close on its own after the trach tube has been removed. You will have a dressing over the site while it heals. In some cases, surgery is needed to close the hole.

Cross section of head and airway showing cuffed tracheal and pilot tube.


If you have a stoma

Your larynx may have been removed during surgery. If so, you’ll continue to breathe through the hole in your throat. This hole is called a stoma. It's also called a permanent tracheostomy. Tell those who care for you that this is your only airway. In a medical emergency, a breathing tube can't be put in through your nose or mouth. You will be shown how to care for your stoma. Support groups can help you get used to having a new airway. And you can return to work, family life, and many of the activities you did before surgery.

You will need follow-up visits for your tracheostomy and its care.


When to contact your doctor

Contact your doctor right away if you have:

  • A red or painful stoma.

  • A small amount of bleeding, that stops promptly, from the tube or stoma.

  • Yellow, smelly, bloody, or thick mucus around or inside your stoma.

  • Pain while cleaning your airway.

  • A persistent cough.


Call 911

Call 911 if any of the following occur:

  • Trouble breathing or wheezing

  • Coughing up blood

  • Large amount of bleeding, or persistent bleeding, from the tracheostomy site

  • Swelling around the trach tube or stoma

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

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