2021
DOI: 10.1136/bcr-2021-244224
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Macroglossia secondary to prolonged prone positioning for management of COVID-19 respiratory failure

Abstract: 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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Cited by 3 publications
(4 citation statements)
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“…The main difference between the two is that true macroglossia has definite histopathological abnormalities, while relative macroglossia may have corresponding clinical symptoms, but its histological structure is normal. Some patients with macroglossia may develop different complications, such as keratinised tongue plaques or infection ( Sharma et al, 2021 ). The most common cause of macroglossia in non-COVID-19 patients is congenital lingual vein malformation or lymphatic vascular malformation, which is more common in young children, while macroglossia caused by COVID-19 is more common in adults, most of whom have been on ventilators ( Andrews et al, 2020 ; Sharma et al, 2021 ).…”
Section: Macroglossia Diseasementioning
confidence: 99%
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“…The main difference between the two is that true macroglossia has definite histopathological abnormalities, while relative macroglossia may have corresponding clinical symptoms, but its histological structure is normal. Some patients with macroglossia may develop different complications, such as keratinised tongue plaques or infection ( Sharma et al, 2021 ). The most common cause of macroglossia in non-COVID-19 patients is congenital lingual vein malformation or lymphatic vascular malformation, which is more common in young children, while macroglossia caused by COVID-19 is more common in adults, most of whom have been on ventilators ( Andrews et al, 2020 ; Sharma et al, 2021 ).…”
Section: Macroglossia Diseasementioning
confidence: 99%
“…Some patients with macroglossia may develop different complications, such as keratinised tongue plaques or infection ( Sharma et al, 2021 ). The most common cause of macroglossia in non-COVID-19 patients is congenital lingual vein malformation or lymphatic vascular malformation, which is more common in young children, while macroglossia caused by COVID-19 is more common in adults, most of whom have been on ventilators ( Andrews et al, 2020 ; Sharma et al, 2021 ).…”
Section: Macroglossia Diseasementioning
confidence: 99%
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“…Pneumonia can result from unwanted aspirations due to the presence of dysphagia, an event that has a high percentage in the elderly [80]. Lingual dysfunction may occur following a prolonged position with the patient prone, following pneumonia due to severe acute respiratory syndrome coronavirus 2 infection; lingual functional impairment can have serious consequences for the patient's health [81]. Similarly, with chronic pulmonary diseases such as chronic obstructive pulmonary disease and asthma, there are abnormal lingual movements, a functional decline in the strength and activity of the tongue, which reflects the decline in muscle strength of the limbs [82][83][84].…”
Section: The Respiratory-circulatory Model and The Tonguementioning
confidence: 99%