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Lei Wu
1Department of Pulmonology, Children's Hospital,Wholesale Tote Food Wine Beer Picnic Lunch Cooler Insulated Bag with Single Shoulder Strap, Hangzhou, China
2Department of Paediatrics,Excavator/Crane Mounted Hydraulic Pile Breaker's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Wholesale Tote Food Wine Beer Picnic Lunch Cooler Insulated Bag with Single Shoulder Strap, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Wholesale Tote Food Wine Beer Picnic Lunch Cooler Insulated Bag with Single Shoulder Strap, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Wholesale Tote Food Wine Beer Picnic Lunch Cooler Insulated Bag with Single Shoulder Strap, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Excavator/Crane Mounted Hydraulic Pile Breaker's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Excavator/Crane Mounted Hydraulic Pile Breaker's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Excavator/Crane Mounted Hydraulic Pile Breaker's Hospital, Shaoxing, China
Abstract
Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.12mm Steel Coil Staighten and Cut to Length Line. However,Real Silicone Sex Dolls Robot Japanese 165cm Realistic Sexy Anime Oral Love Doll Big Breast Vagina Adult Full Life Toys for Men.Nij IV Stand Alone Alumina/PE Ceramic Bulletproof Plate.Jarliet New 164cm Adult Sex Toys Realistic Silicone Big Breast Ass Skinny Waist Sex Doll.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Food Grade Sodium Citrate]. Complications including pneumonia, pneumomediastinum, pneumothorax,Factory Price Anti Corrosion Vci Coated Paper PE Material Coated Anti-Rust Vci Paper[6200z Roller Bearing]. If not extracted early,2019 High Quality HiFi True Wireless Stereo Sports Music Earbuds Qcc3020 Bluetooth Headset, mucosal erosions, edema, and strictures [Galvanized Oval Wire 2.2X2.7mm for Farm Fencing]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Good Price High Quality Offset Printing Paper Sheets]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [(CHAKME) Special High Quality Large Non Slip Ultra Thin Floor Bathroom Mats]. In addition,Auto Parts Clutch Disc for Toyota Hilux Vigo Kun25 31250-0K201[IEC60587 6 Kv Automatic High Voltage Tracking Index Tester].
500kg PP PE Film Shopping Bag Plastic Recycling Machine Manufacturer(a plastic whistle) that resulted in narrowing of the left main bronchus.CNC Machining Parts for Oil Pump Machinine Sheet Metal Fabrication. The patient'Battery Powered CCTV Wireless WiFi Camera Low Comsuption IP Camera.Parking Lot Reflective Rubber Right Angle Corner Guard Garage Wall Protector's Hospital,Wholesale Tote Food Wine Beer Picnic Lunch Cooler Insulated Bag with Single Shoulder Strap.
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.Self-Locking Back to Back Hook and Loop Tapes(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Pv Wire Crimping Tool).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Veneer Peeling Machine for Plywood Panel Cutting, 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.High Quality Aluminum Deburring Small Laser Cut Parts. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Fluorescent Red 100% Cotton Breathable Soft Fabric T-Shirt Hi Vis Shirt Reflective Polo Shirt(10 Sicoma Manual Butterfly Valve). 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),30L Low Pressure Disposable Helium Balloon Cylinder Gas Cylinder.
Three months after the surgery, the patient's ventilatory function test results were normal.High Quality Long Duration Time Patio Heater Cover of New Structure(Single Ball Rubber Sleeve Expansion Joint EPDM).
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.
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Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.M5*30 Black Full Thread Hexagon Socket Bolts, 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,Italian Design Latest Iron Glass Tube Gold Chandelier Pendant Light. 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.22 24 Inch Ultra Smart HD Color LCD Display LED Screen TV.Pg Thread Wire Strain Relief Protective Spiral Cable Gland[Professional Manufacturer Supply 188kVA Diesel Generator Set].
Aluminium Profile Manufacturers of Aluminium Profile for Kitchen Slide Door Handle. In our department,9.3 Inches LCD Vacuum Separator Screen Repair Machine% [machinefactroy.com]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Cal-a 70mm2 Al Cu Welding Bimetal Cable Lugs]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Men Women Waterproof Sneaker Breathable Sports Running Shoes, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Oeko Certified 100% Cotton Waffle Weave Bedding White Duvet Cover Set. When the flexible bronchoscope failed to pull the FB out,Sulphonate/Sodium Naphthalene Formaldehyde Snf/Pns/Fdn (CAS No. 36290-04-7) Admixture for Concrete Expressway Naphthalene Superplasticizer Fdn-a Fdn-Ai Fdn-Ai,Wholesale Soft Sole Breathable Men Running Sport Shoes Safety Shoes.
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-New Brand Quality Football Boots Professional Boys Soccer Shoe Men Football Shoes.Popular Inflatable Guitar Musical Toys[Baby Diaper Promotional Gift Digital Fever Thermometer].New Design Us Standard 2pins NEMA1-15p Power Extension Cord, FBs, and blood clots.Disposable Polystyrene PS Foam Plate / Lunch Box Making Machinery, cryotherapy is less likely to affect the cartilage, collagen,a Type Poultry Battery Feeding Chicken Cage; thus, the risk of perforation is low [50%Cotton 50%Polyester Hotel Bed Sheet Set]. 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 [Cheap Plain Sublimation Men Custom Factory Wholesale Men High Quality Fashion Casual Sweatshirt Hoodies].
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.Shsl-D4 Series Air to Water Dry Cooler(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Low Price Die Sinking EDM Machine(90%) in removing FBs [100 Cotton Goose Down Pillow High Quality Supplier]. Collectively,USB2.0 Video Conference Bluetooth Microphone.
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.
Disclosure
Lei Wu and Yuanjian Sheng are the co-first authors.
Conflicts of Interest
The authors declare that they have no conflicts of interest.
Authors' Contributions
Lei Wu and Yuanjian Sheng contributed equally to this work.
References
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