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Macroglossia secondary to prolonged prone positioning for management of COVID-19 respiratory failure
  1. Soorya Sharma,
  2. Temilola Abdul and
  3. Sampson Ho
  1. Physical Medicine and Rehabilitation, Mary Free Bed Rehabilitation Hospital, Grand Rapids, Michigan, USA
  1. Correspondence to Dr Temilola Abdul; lola.abdul{at}


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.

  • COVID-19
  • wound care
  • ear
  • nose and throat
  • rehabilitation medicine
  • mouth

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  • SS and TA are joint first authors.

  • SS and TA contributed equally.

  • Contributors SS and TA contributed equally to the writing of this manuscript with the assistance of SH. SH is the senior author.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.