Lingual compression for acute macroglossia in a COVID-19 positive patient

Andrews, Erickson; Lezotte, Jonathan; Ackerman, Adam

doi:10.1136/bcr-2020-237108

Cited by 14 publications

(23 citation statements)

References 13 publications

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“…Endotracheal tubes and throat packing as well had been associated with lingual oedema as a result of disruption of venous drainage [ 44 ]. There has been a number of ICU cases with acute macroglossia before the COVID-19 pandemic; therefore, the emergence of this rare but devastating complication was anticipated, and its non-invasive management is deemed required [ 27 ].…”

Section: Resultsmentioning

confidence: 99%

“…On reviewing the emerging evidence on ICU-related complications in COVID-19 patients, fourteen studies (one cohort study [20], two case-control studies [21,22], one cross-sectional study [23], two case-series [24,25], and eight case-reports [26][27][28][29][30][31][32][33]) with two hundred ten patients met the inclusion criteria. The majority of the cases were from the Americas (USA n = 103, 49.5%; Brazil n = 4, 1.9%), followed by Europe (Spain n = 57, 27.1%; UK n = 16, 7.6%; France n = 2, 1%; and Italy n = 2, 1%), and Middle East (Iran n = 26, 12.4%).…”

Section: Literature Reviewmentioning

confidence: 99%

“…3.2.4. Macroglossia (ICD-11: DA03.5) Acute macroglossia has been reported by Andrews et al 2020 in a 40-year-old male patient who experienced prolonged pronation cycles for eleven days [27]. Endotracheal tubes and throat packing as well had been associated with lingual oedema as a result of disruption of venous drainage [44].…”

Section: Oral Ulcers (Icd-11: Da01)mentioning

confidence: 99%

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Oral Complications of ICU Patients with COVID-19: Case-Series and Review of Two Hundred Ten Cases

Hocková

Riad

Války³

et al. 2021

JCM

124

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Background: The critically ill patients suffering from coronavirus disease (COVID-19) and admitted to the intensive care units (ICUs) are susceptible to a wide array of complications that can be life-threatening or impose them to long-term complications. The COVID-19 oral mucocutaneous complications require multidisciplinary management and research for their pathophysiological course and epidemiological significance; therefore, the objective of this study was to evaluate the prevalence and characteristics of the critically ill COVID-19 patients with oral complications. Methods: We described the clinical and microbiological characteristics of the critically ill COVID-19 patients in our ICU department (Banska Bystrica, Slovakia). In addition, we reviewed the current body of evidence in Ovid MEDLINE®, Embase, Cochrane Library, and Google Scholar for the oral mucocutaneous complications of ICU patients with COVID-19. Results: Three out of nine critically ill patients (33.3%) in our ICU department presented with oral complications including haemorrhagic ulcers and necrotic ulcers affecting the lips and tongue. The microbiological assessment revealed the presence of opportunistic pathogens, confirming the possibility of co-infection. On reviewing the current literature, two hundred ten critically ill patients were reported to have oral complications due to their stay in the ICU setting. Perioral pressure ulcers were the most common complication, followed by oral candidiasis, herpetic and haemorrhagic ulcers, and acute onset macroglossia. The prolonged prone positioning and mechanical ventilation devices were the primary risk factors for those oral complications, in addition to the immunosuppressive drugs. Conclusions: The multidisciplinary approach is strongly advocated for monitoring and management of COVID-19 patients, thus implying that dermatology and oral healthcare specialists and nurses should be integrated within the ICU teams.

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Section: Resultsmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Oral Complications of ICU Patients with COVID-19: Case-Series and Review of Two Hundred Ten Cases

Hocková

Riad

Války³

et al. 2021

JCM

124

View full text Add to dashboard Cite

show abstract

“…However, angioedema is a known complication of urticaria and was unlikely due to BK. Although one might expect more reports of angioedema in patients with COVID-19, new clinical findings are reported daily, and some described features similar to angioedema but using different descriptors, such as macroglossia, upper airway edema, and laryngeal edema ( 9 , 10 ).…”

Section: Similar Casesmentioning

confidence: 99%

Angioedema in African American Patients Hospitalized for COVID-19

Batarseh

Kersten

Pinelo

et al. 2020

Am J Respir Crit Care Med

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“…injury. 5 Patients with COVID-19 receiving prolonged proneposition ventilation are especially at increased risk, 7 and there are no guidelines for managing such patients in whom standard lingual compressive therapy has failed. This case highlighted an effective method of lingual compression in patients with post-COVID-19 macroglossia.…”

Section: Case Reportmentioning

confidence: 99%

Macroglossia secondary to prolonged prone positioning for management of COVID-19 respiratory failure

Sharma

Abdul

2021

BMJ Case Rep

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We report the case of a 59-year-old woman who developed acute macroglossia following prolonged prone positioning for management of COVID-19. We found that Biotene mixed in glycerin was effective at removing keratinised lingual plaques and better tolerated than Biotene alone. Additionally, uniform tongue compression applied via tubular elastic dressing yielded more efficacious results than uneven tongue compression via Coban.

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Lingual compression for acute macroglossia in a COVID-19 positive patient

Abstract: We describe a 40-year-old woman with severe, persistent macroglossia following prone positioning as part of treatment for COVID-19. We used the treatment method of lingual compression with satisfactory results.

Cited by 14 publications

References 13 publications

Oral Complications of ICU Patients with COVID-19: Case-Series and Review of Two Hundred Ten Cases

Oral Complications of ICU Patients with COVID-19: Case-Series and Review of Two Hundred Ten Cases

Angioedema in African American Patients Hospitalized for COVID-19

Macroglossia secondary to prolonged prone positioning for management of COVID-19 respiratory failure

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