A device for holding a tracheostoma device over a tracheostoma of a patient including a passage having a distal and a proximal opening for receiving the tracheostoma device at the distal opening thereof. A flange may extend laterally, caudially, and cranially from the passage. The flange may have a proximal side facing the tracheostoma of the patient and a distal side facing outwardly from the patient. At least a part of said proximal side may include skin adhesive. The flange may have a higher moment of resistance in the caudal/cranial direction than in the lateral/medial direction for said device by having a higher moment of resistance in the caudal/cranial direction than in the lateral/medial direction for at least a part of said flange.
