Shiley XLT tubes are available with extended length in either the proximal or distal portions. Choose extra length in the proximal portion to accommodate increased skin-to-tracheal-wall distances in patients with a full or thick neck. Tubes with extended distal length compensate for conditions such as tracheal stenosis or malacia, which often require extra length.Shiley XLT tracheostomy tubes also offer patient comfort through our flexible, free-swiveling neck flange while providing easy inspection of the stoma site. A disposable inner cannula is secured with our unique twist-lock mechanism, affording ease of use for both patients and health care workers.