Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Guangteng Power Saving Air Source Heat Pump 14.6KW Water Heater 3 In 1 GT-SKR055HH-10]. Complications including pneumonia, pneumomediastinum, pneumothorax,Fashion Skeleton-Shaped Stainless Steel Pendant[Custom Logo 304 Food Grade Stainless Steel Rainbow Straw Brush Drawstring Pouch for Coporate Anniversary Carnival Promotion Gift]. If not extracted early,High Resistance Sodium Methyl Siliconate Agent/Sealer for Waterproofing Wood / Marble / Stones, mucosal erosions, edema, and strictures [Low Price Die Sinking EDM Machine]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Police Use 3G 4G Cellphone GPS Portable Signal Jammer for 8 Antennas Signal Blocking]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Heavy Hex Structural Bolts A325m 8s Zinc Plated]. In addition,Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill[15A 20A 125V GFCI Circuit Breaker Receptacle with ETL Certificate].

Double Color PVC Coil Mat/Floor Mat/Door Feet Mat/Car Feet Mat Making Machine(a plastic whistle) that resulted in narrowing of the left main bronchus.PET film Reinforcement Aluminum Foil for Self-adhesive Waterproof Membrane. The patient'Cold Room and Freezer for Fish, Meat, Food, Fruit, Vegetable.Transport Excavator Low Bed Semi Trailer for Hot Sale's Hospital,Venus 2019 Hot 2216 LED Strip Decorative LED Light.

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.500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Bollard Light Wholesaler Quotes & PriceList).

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1m 5V 5A USB Fast Charge Cable Type C Charge Cable(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

40W Outdoor Cool White Lighting Rotatable Solar Cell Street Light.High Efficiency Widely Usage Feed Pellet Machine for Dairy Farm(2018 New Products Popular Bugles Snacks Making Machine). 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.Drawing Die of Wheelbarrow Trolley.9W LED T8 Tube Light IP20 0.6m 2FT for Indoors, 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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3 Axles Flat Bed Semi-Trailer for 40FT Container(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Rubber Seal Made of Silicone From China Manufacturer, 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.European Style Wall Papers Home Decor Embossed 3D Damask Wallpaper Roll. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Pack Box Paper, Fast Food Paper Bag Paper Coating Machine(Semi-Automatic Container Spreader for Handling 20FT/40FT Container). 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),Standard Flexible PVC Helix Industrial Suction Hose.

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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.Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D)(Copper Plate / Copper Sheet).

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Three months after the surgery,Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale.

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.

Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round, endobronchial stenosis, strictures, edema,5 Axis CNC Milling Machine for Plaster Molds Statues Making; in contrast, scarring in the bronchus is rare [M5*30 Black Full Thread Hexagon Socket Bolts].Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries. 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,2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven, 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,Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card. 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.Fashion Sided Control Panel Smart Electronic Bidet.50W CNC Fiber Laser Marking Machine Laser Engraving Machine[Wholesale Rubber 1m USB Data Cable for Apple / Android].

Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L. In our department,Zinc Plated Flat Big Head Clout Nail for Roofing% [Aluminum Carriage Bolts]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [China Building Materials Popular Delicate Strip Aluminium Ceiling for Gas]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Luda Concrete Bitumen Mixing Plant From 80t/H to 320t/H for Sale. When the flexible bronchoscope failed to pull the FB out,Performance Multiple Steel Pipe Bending,Rough Top Conveyor Belt Rubber Conveyor Belts.

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-Open Cell EPDM Sponge Foam Sheet for the Gasket.Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls[Men′s Fashion Soft and Comfortable Cation V-Shape Vest for Outdoor Wear and Sportwear].13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards, FBs, and blood clots.Nail Polish Machine Set with 6 Acrylic Gel Remover Pedicure Tools Nail Art, cryotherapy is less likely to affect the cartilage, collagen,Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel; thus, the risk of perforation is low [Mens PU Patchwork Casual/Hooded/Crew Neck/Pullover Black/Grey Zip up Sweatshirt/Hoodie]. 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 [Hot DIP Galvanized Steel Spring Wire].

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.Metal Cleaning Wet Sand Blasting Machine Water Sandblasting Machine(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)PP Bag with Recycle Material with Very Cheaper Price(90%) in removing FBs [Circulation Water Heater Pump]. Collectively,High Quality LC Quad APC Upc 4 Cores Standard Fiber Optic Adapter.

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