Provided is a collar for securing a tracheostomy tube to a patient. The collar has opposing neck connectors having a silicon pads to reversibly stick the color to a patient's neck, without encircling the patient's neck. Tabs on the collar are used to fasten the neckflange of the tracheostomy tube to the collar. Hook flaps are used to lock the tabs in place so that the neckflange cannot be easily removed from the collar by the patient.