The silicone tracheal T-tube was designed to maintain an adequate tracheal airway as well as to provide support in the stenotic reconsituted or reconstructed trachea. This report is our experiences with using silicone T-tubes which were successfully used to two cases with extensive laryngotracheal trauma and one case with decannulation difficulty for 9 months. Author strongly believe that silicone T-tube is excellent device out of consideration for our experienced cases, though many techniques have been applied for the treatments of tracheal problems.