Tracheal stoma recurrence after external beam irradiation in patients with laryngeal carcinoma is a serious complication. Treatment can often only be of a symptomatic nature. A simple method of brachytherapeutic treatment is described, consisting of a special flab applicator combined with a tracheostomal tube. The presented applicator system is suitable for treatment of the tracheostomal recurrence as well as the surrounding skin. It can be applied easily and is well tolerated by the patient, while at the same time achieving a good palliative effect.