Hi Cindy, I had a trech and it got down to hole about the size you are describing. My ENT said just keep a light piece of gauze with tape at the top and bottom, not on the sides, so it can get air but stays clean. It seemed like it took forever to get that little hole to close. But eventually it did. I asked about stitches and my doctor said just be patient and it will close. But that was my experience, I hope with yours it will be somewhat like mine so you don't have to go through anymore trauma. Take care!