An endotracheal tube holder is provided. The tube holder allows adjustment of the position of an endotracheal tube during use. In some embodiments the tube holder comprises a body portion, wherein the body portion is elongated and comprises an elongated opening. The tube holder also comprises a tube grasping mechanism and an attachment mechanism for adjustably securing the tube grasping mechanism to the body portion. The attachment mechanism comprises a rod member configured to pass through the elongated opening, a widened proximal body connected to a proximal end of the rod member; and a widened distal body attached to a distal end of the rod member, having a size that prevents the widened distal body from passing through the elongated opening to secure the attachment mechanism to the body portion.