A method for positioning a cannula for permanent implant through the orifice or tracheostoma in a fully aligned manner with the help of an inserter. The inner end or suprastomal extension of the cannula, upon withdrawing the inserter is vertically positioned in the supra-ostial area of the trachea, allowing, once the permanent cannula has been permanently positioned, the introduction of a perforated cannula having a characteristic curvature therethrough. The perforated cannula is oriented, through the lower aperture of the permanent cannula -1-, towards the interior of the lungs in order to allow insufflation of air from the exterior, while the exhaled air is derived through the vertical extension towards the larynx through the orifices disposed in the curvature elbow thereof.