Abstract: A tracheal tube holding and stabilizing device includes a support having an open slot for receiving a tracheal tube. A pivotally mounted jaw is coupled to the support to close the slot and clamp the tracheal tube in position. The support includes a flexible arm having ratcheting teeth for engaging complementing ratcheting teeth on an outer end of the jaw. The jaw includes an open slot on one side to receive the tracheal tube in the clamping position. In this manner, the tracheal tube is securely clamped in the slot of the support and the slot in the pivotable jaw.