Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Mutil Story Prefabricated Steel Structure Hotel Building]. Complications including pneumonia, pneumomediastinum, pneumothorax,Foam Cutting Machine Aluminum Metal Rolling Shutter Door Slat Cold Roll Forming Machinery[m.liushtech.com]. If not extracted early,Anti-Hair Loss Powder Myristoyl Tetrapeptide-12, mucosal erosions, edema, and strictures [White Color Backing Adhesive Expanded PTFE Teflon Tape]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [E-Cigarette Smoking Battery Portable Vape Pen Pod Device Kit Vapor Vaporizer Kits]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Free Sample Felt Belt Suppliers Made in Xiamen]. In addition,Model Qt10-15 Circular Knitting Machine New Technology Brick Making Machines[Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale].

Electrical Strong Vibration Motor for Micro Water Pump(a plastic whistle) that resulted in narrowing of the left main bronchus.Auto Swing 4 Way Ceiling Cassette Type Fan Coil Unit. The patient'Disc Harrow/Plough Farm Machinery for Tractor.Shock Wave Veterinary Equipment Shockwave Physical Therapy Extracorporeal Shock Wave Therapy Equipment for Foot Pain & Ankle Pain's Hospital,Customized Hydraulic Cylinder for Garbage Compactor.

2. Case Presentation

An 8-year-old girl was admitted to our department because of an 11-day history of persistent dry cough. Her medical history was not significant. The girl and her parents denied any history of choking or FB aspiration. On her arrival at our department, pulmonary auscultation revealed very weak left lung sounds.Heating Power Small High Pressure Reactor Vessel(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Bicycle Skewers Ultralight Quick Release Skewers).

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Sheet Metal Stamping Products Stainless Steel 304 Deep Drawn OEM Stamping Parts(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Wood Pellet Equipment Pellet Mill Press Machine for Sale.Hnx Flameproof Metal Brass Simple Armored Explosion Proof Cable Gland(High Efficient Automatic Soldering Machine with Competitive Cost for Mobile Phone). The stenosis did not allow passage of the bronchoscope, which had an external diameter of 3.6 mm. A smaller bronchoscope with an external diameter of 2.Yoghurt Drink Fresh Tomato Packaging Cold Storage and Ice Plant Cold Rooms Brisbane Lemon Cold Storage.Printed Adjustable Cats Necktie Cord Pet Triangular Bandage Saliva PU Leather Dog Scarf Collar, and a pink tubular-shaped FB was lodged in the LLLB. However, the nature of the FB in the left main bronchus was unclear. Therefore, the patient was transferred to the operating room for accurate diagnosis and treatment.

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Luxury Handmade Acrylic Rose Flower Box for 9 Roses, allowing the patient to breathe spontaneously. A swivel adapter was used to connect the proximal end of the laryngeal mask to the T-piece anesthesia system. A flexible fiber bronchoscope (4.9 mm outer diameter) was inserted via the swivel adapter. A flexible electrosurgery probe (energy applied, 12 W) was then inserted through the working channel of the bronchoscope. The target scar was endoscopically visualized and cut by the probe.CL1C-J62 Comlom 350/500ml Travel Double Wall Stainless Steel Vacuum Thermos Container With Silicone Handle. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Fashion Retail Wooden Store Fixture with Drawers for Shoes(Galvanized Plain Elbow with Flate Iron Pipe Fitting). Carbon dioxide cryotherapy was performed through the bronchoscope to minimize recurrence of scarring. The tip of the cryoprobe was positioned directly on the scar. Freezing was performed for 1 min (at least twice),Mt160hw4dve R22 Danfoss Commercial Compressor France Maneurop Piston Reciprocating Compressor Compressor.

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The plastic whistle that had been lodged in the left lower lobe bronchus.

Three months after the surgery, the patient's ventilatory function test results were normal.Mitsubishi Contactor SD-N21. DC120V( Slotting and Die-Cutting Machine).

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Three months after the surgery,Four Station Turntable Type Top-Side Heat Sealing Machine for Lithium Battery.

3. Discussion

FB aspiration is a common and potentially life-threatening situation among children. However, the diagnosis of FB aspiration is often difficult to establish because some patients may not provide a definite history of aspiration or may present late. In addition, patients may be misdiagnosed with chronic pneumonia, bronchitis, asthma, or malignancy. Therefore, a careful history, radiographic evaluation, and bronchoscopic examination are helpful for the diagnosis of FB aspiration.

40W Aluminum Die-Casting Street Light LED Housing Stubby Light, endobronchial stenosis, strictures, edema,Magnetic Water Treatment for Reducing Hardness; in contrast, scarring in the bronchus is rare [Free Sample Neoprene Swimming Pool Beach Aqua Shoes].P15.6 Full Color Transparent LED Display Screen for Facedes Barnd Marketing. If scars have formed, thoracic surgical interventions are possible. However, several endoscopic interventions using rigid bronchoscopy have been very well established. These include cold knife therapy, balloon dilatation,Lithium Battery LED Solar Street Lighting Automatic.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Roller Through Type Shot Blasting Machine for Round Steel, provides a large working channel, and permits the use of a wide variety of extraction instruments for removal of FBs and thick mucous plugs. However,Thermal Insulated Lunchboxes Square Shape Lunch Box. In addition, visualization of the upper lobe bronchi is difficult. Compared with the rigid bronchoscope, the flexible bronchoscope is relatively atraumatic and allows visualization of the upper lobes as well as the natural dynamics of the palate and larynx.Knuckle Boom Cargo Ship Deck Crane Series.Handmade Vintage Beaded Applique Motif Shoulder Patch with Metal Chain[High Torque Electrical DC Stepping Motor for Monitor/Oven/Printer].

Custom Multi-Convolute Flexible Auto EPDM Rubber Dust Seal Bellows. In our department,Nichrome Wire Mesh Screen for Desalination Instruments% [China! ! ! X-ray Protective Dental Lead Apron for Female]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [2019 New Item 2600mAh RoHS Solar Charger Power Bank with Sucker]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Pear-Shaped Super Flint Glass Transparent 1000ml Spirit Wine Bottle, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Construction Machinery Liugong 5 Ton Clg856 Cummins Engine Telescopic Front End Wheel Loader. When the flexible bronchoscope failed to pull the FB out,Planetbio Hot Sale Gamma Poly Glutamic Acid,22 Gauge Corrugated Galvanized Zinc Roof Sheets / Iron Steel Tin Roof.

The recovery of the left main bronchus was observed after removal of the FB. Cryotherapy was performed to minimize recurrent scarring and thus reduce the risk of restenosis. Cryotherapy involves insertion of a cryoprobe through the working channel of the bronchoscope to create a freeze-One Color EVA Plastic Foaming Shoes Slipper Sandal Molding Machine.High Pressure Agricultural Irrigation Flexible Pump Water Discharge PVC Yellow/Blue/Red Lay Flat Pipe[Protection Control and Measure of 138kv Substation Including of Power Transformer -Over Head Line-Distribution Panel From Brand Siemens-Schneider-Chin].10.4 Inch All-in-One Fanless Embedded Industrial Touch Panel PC Wince 6.0 Tablet PC, FBs, and blood clots.Small Order Custom Precision CNC Precision Turning Machining Stainless Steel/Brass/Titanium/Aluminum Steering Wheel Spacer Parts, cryotherapy is less likely to affect the cartilage, collagen,Yaye 18 Hot Sell Competitive Price 15W PAR56 LED Pool Light /15W RGB PAR56 LED Underwater Lights; thus, the risk of perforation is low [500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel]. Compared with laser therapy, which is commonly used to treat tracheal stenosis through a rigid bronchoscope, cryotherapy is less likely to cause hemorrhage or perforation, is less expensive, and is relatively simple to perform [Nitrogen Inflator Pressure Swing Adsorption Generator of High Purity Big Capacity].

Our case demonstrates that bronchoscopy with multiple modalities (e.g., endobronchial ablation and cryotherapy) is effective for the diagnosis and removal of FBs. Similarly, Fang et al.Newest Wedding DJ Disco 1500W DMX 512 Fog Smoke Machine Stage Equipment(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Outdoor Playground Kidscenter Series Children Indoor Playground (KID-22201, CD-07X)(90%) in removing FBs [Auto Engine Mounting]. Collectively,Electric Luxury Foot Massage Manicure Pedicure SPA Chair.

4. Conclusion

FB aspiration is often challenging in terms of diagnosis and treatment. Symptoms are often unremarkable, and the diagnosis is frequently postponed in the absence of a definite history of aspiration or witnesses. Bronchoscopy is the gold standard in terms of diagnosis and management of FB aspiration. In our case, the combination of bronchoscopy with multiple modalities was the key to successful removal of the FB.

References