A tracheal tube system includes a tracheal tube assembly having a cannula configured to be positioned in a patient airway, and a connector coupled to the proximal end of the cannula. The tracheal tube assembly further includes a flange member secured about the cannula. The flange member includes an interior face configured to be disposed onto a patient neck when in use and a first plurality of protrusions disposed on top of the interior face, wherein the cannula and the connector form a contiguous passageway for exchanging fluid with the patient airway in operation.
