ObjectiveTo describe the use of muscle relaxants and a bite raiser to avoid continued tongue trauma.DesignCase report.SettingA tertiary general intensive care unit (ICU).InterventionsMuscle relaxation and bite raiser.Main ResultsMuscle relaxation and a bite raiser were used in a 17-yr-old male with traumatic macroglossia, which allowed for rapid resolution of edema and prevented additional trauma to the tongue.ConclusionEarly use of a bite raiser together with muscle relaxants allows for more rapid solution of edema and prevention of additional trauma to the tongue in patients with traumatic macroglossia. (Crit Care Med 1999; 27:1643-1645)