The present disclosure describes systems and methods that utilize a tracheal tube with a reduced profile. An inflatable balloon cuff may be positioned within a recessed portion of an outer wall of the tracheal tube to reduce the overall profile of the tracheal tube. In this manner, protrusion of the inflatable balloon cuff from the tube is minimized, which protects the cuff from damage (e.g., snagging) and eases intubation. In addition, in certain embodiments, the recessed portion may change the outer wall diameter of the tube wall without affecting the inner wall diameter so that the work of breathing for the patient is not increased.