Aim: It was aimed to compare the results of using endotracheal tube and laryngeal mask for airway safety in percutaneous tracheostomy applications. Methods: The results of using ETT and LMA in percutaneous tracheostomy applications in Adıyaman Training and Research Hospital between 2013 and 2018 were analyzed retrospectively. 170 patients were identified. 4 patients were excluded from the study due to missing information. Results: Of the 166 patients included in the study, 76 were female and 90 were male. It was most frequently performed in patients with a diagnosis of cerebrovascular accident. (44%) Tracheostomy was successful in all patients, minor bleeding was detected in 20 patients and a second attempt was detected in 21 patients. The duration of tracheostomy procedure was found to be significantly shorter in the LMA group (p < 0.05). The length of hospital stay was significantly higher in the ETT group than in the LMA group (p < 0.05). Conclusion: It has been determined that the use of LMA in percutaneous dilatational tracheostomy applications shortens the procedure time, increases the success of the procedure and is associated with fewer complications.