The olympic button is a self-retaining “mini-trach” device that requires no ties or dressings, used in individuals who are not technically tracheotomy-dependent but who may need a “back door” to breathe through on an intermittent basis. Examples include individuals with marginal airways who are functional with plugged Olympic button through the day but whose airway further collapses during sleep at night. In such a case, the plug is removed from the Olympic button only at night.