Whether or not the tracheotomy can be plugged after one year of non-blocking should be determined by the individual’s recovery. If, one year after tracheotomy, the individual can expel sputum on his/her own, there is no infection, and the indications for closure are met, the wound can be closed by extubation; if, one year after tracheotomy, the individual is still unable to expel sputum on his/her own and there is an infection or other problems, which are not in line with the indications for closure, closure of the wound is not generally recommended. There is no clear time limit for when to plug the tube after tracheotomy, but only need to meet the indications for sealing the tube, and there is also the possibility of plugging and pulling the tube after one year. Indications for extubation after tracheotomy include recovery of consciousness, reduction of tracheal secretions, recovery of spontaneous respiration, normal ventilation, recovery of coughing and swallowing reflexes, absence of hypoxia after removal of oxygen, and absence of laryngeal edema, etc. It is recommended that a specialist evaluate the possibility of extubation after tracheotomy. It is recommended to have a specialist to evaluate whether the tracheal tube can be blocked and extubated.