Whether the tracheal tube can be removed after six months of total laryngectomy depends on the patient’s condition and clinical symptoms. Generally, the tracheal tube needs to be worn for about one year or for life after total laryngectomy. After total laryngectomy, if the tube is removed too early, it may cause narrowing of the tracheal opening and thus symptoms such as dyspnea. If the patient has sputum that cannot be discharged, the patient needs to use a suction device to aspirate sputum in time, and the patient needs to pay attention to prevent inhalation of foreign bodies. Patients need to plug the tube before extubation to make sure that the patient can breathe normally after plugging the tube. After total laryngectomy, patients need to keep a permanent tracheal passage, most patients need to wear a tracheal tube cover for life, and the tube cover should be sterilized daily. Tracheal tube extubation after total laryngectomy surgery in patients needs to be done accordingly under the advice of the doctor. Patients are advised to seek medical attention when they feel unwell to identify the cause of their condition and manage accordingly.