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A 39-year-old female underwent endotracheal intubation secondary to respiratory failure following sudden altered mental status. Tongue swallowing developed and worsened with obvious pallor on examination. Extensive ischemic changes with tongue necrosis developed dramatically due to the compression during her prolonged intubation. This case of tongue necrosis highlights the importance of proper ETT sizing and positioning during prolonged intubation in ICU patients.<\/jats:p>","DOI":"10.1177\/01455613231211309","type":"journal-article","created":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T03:50:21Z","timestamp":1700797821000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Bilateral Tongue Necrosis in a Young Patient as a Complication of Prolonged Oral Endotracheal Intubation: A Case Report"],"prefix":"10.1177","volume":"104","author":[{"given":"Yasser","family":"ALGhabra","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Al-Mouwasat University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Hamdi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Al-Mouwasat University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria"},{"name":"M.D, Faculty of Medicine, Aleppo University, Aleppo, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7232-2899","authenticated-orcid":false,"given":"Ahmad","family":"Kammasha","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Al-Mouwasat University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faez Ebrahim","family":"Nashawi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Al-Mouwasat University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reem","family":"Ashreefa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Al-Mouwasat University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulmajeed","family":"Yousfan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Al-Mouwasat University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,11,24]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Principles of Airway Management","author":"Finucane BT","year":"2010","unstructured":"Finucane BT, Tsui BCH, Santora AH. 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