Masseter muscle pressure injury: First report of a prone position complication in patients with COVID-19

Adèle Rohée-Traoré; Jean-Daniel Kün-Darbois; Sophie Boucher

doi:10.1016/j.iccn.2022.103251

Masseter muscle pressure injury: First report of a prone position complication in patients with COVID-19

Intensive Crit Care Nurs. 2022 Aug:71:103251. doi: 10.1016/j.iccn.2022.103251. Epub 2022 Mar 23.

Authors

Adèle Rohée-Traoré¹, Jean-Daniel Kün-Darbois², Sophie Boucher³

Affiliations

¹ Department of Maxillofacial Surgery, Angers University Hospital, 4 rue Larrey, 49933 ANGERS Cedex, France. Electronic address: adele.rohee-traore@outlook.fr.
² Department of Maxillofacial Surgery, Angers University Hospital, 4 rue Larrey, 49933 ANGERS Cedex, France; Faculty of Medicine, Angers University, 28 rue Roger-Amsler, 49045 ANGERS Cedex 01, France.
³ Department of ENT and Head and Neck Surgery, Angers University Hospital, 4 rue Larrey, 49933 ANGERS Cedex, France; MitoLab team, MitoVasc Institute, CNRS UMR6015, INSERM U1083, 49933 ANGERS Cedex 09, France.

Abstract

We report the case of a 59-year-old, obese woman who underwent prolonged prone position during the medical management of an acute respiratory distress syndrome induced by SARS-CoV-2 infection, complicated by a masseter muscle pressure injury. Such side effect may be underestimate in intensive care units and should be prevent by prophylactic dressings on facial weight-bearing sites. The understanding of facial deep tissue injury is essential to guide clinical detection and management of such a complication in COVID-19 patients.

Keywords: Acute respiratory distress syndrome; COVID-19; Case report; Deep tissue injury; Intensive care; Masseter muscle; Pressure injury; Prone position; SARS-CoV-2.

Publication types

Case Reports

MeSH terms

COVID-19* / complications
Female
Humans
Masseter Muscle
Middle Aged
Patient Positioning / adverse effects
Pressure Ulcer*
Prone Position
SARS-CoV-2