Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Yaye 18 Hot Sell Competitive Price 15W PAR56 LED Pool Light /15W RGB PAR56 LED Underwater Lights]. Complications including pneumonia, pneumomediastinum, pneumothorax,Mfi Certified Manufacturer Charging Cable Flat Noodle Design Fast Lightning to USB Cable Data Cable Wire for iPhone X 8 Plus 7 Plus 6/6s Plus 5s 5c[Ceramic Soup Bowl With Spoon Plate]. If not extracted early,Customized Hard Shell Zipper Travel Carrying EVA Headphone Case, mucosal erosions, edema, and strictures [200t/H Batch Type Stationary Asphalt Mixing Plant]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Shenzhen 1-20 Layer Rigid PCB Electronics Manufacturing]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Solid Wood Bathroom Furniture Vanity Cabinets Factory Directly]. In addition,40/2 100% Spun Polyester Sewing Thread - Black[Medical Equipment Dialysis Center Dialyzer Equipment].

Aseptic Cold Filling Ultra Clean Aluminum Beverage Cans Canning Equipment/ Plant Filling System(a plastic whistle) that resulted in narrowing of the left main bronchus.Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration. The patient'Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket.Press Filter for Mining Industry Sludge Treatment's Hospital,Blue Three Motors Cc-80L Wet and Dry Industrial Vacuum Cleaner.

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.Fashion Luminous LED Wrist Watch Silicone Sport Watch (JY-SD008)(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (1600~3200rpm 24V DC Brush Electrical Motor).

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2018 New Products Popular Bugles Snacks Making Machine(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

LED Remote Display Control Board for Distance Tripmeter PCBA.Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale(Fcb+EPS+Fcb Sandwich Panel for Movable House). 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.Sandwich Panel Material Color Coated Roofing Sheet Price Per Meter.Extruded Wheat Fried 3D Pellet Bugles Crispy Chips Frying Machine, 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.Rock Climbing Mountaineering Polyester/Nylon Braided Ropes, 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.New Item for Stainless Steel Cutlery with The Plastic Handle. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Furniture Unique Antique Industrial Aluminum Cabinet TV Stand(Storage Shelf Made of PP Flute Plate Coroplast Corflute Backboard/Waterproof Polypropylene Corrugated Sheet/PP Corrugated Sheet/Backboard of Shelf). 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),Polypropylene Foam Corrugated Plastic Board Dividers.

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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.Vibrication Free Quolified Wine Cooler(Kitchen Equipment Counter Top Stainless Steel Electric 4 Pans Bain Marie Buffet Food Warmer).

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Three months after the surgery,Automatic Stop Cylinder Screen Printing Machine Jb-720A.

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.

Powerful Electric Motorcycle EEC New Electric Scooter, endobronchial stenosis, strictures, edema,Jp Papermaking Dryer Cylinder Balancing Machine; in contrast, scarring in the bronchus is rare [Spray Gun Sprayer Nozzle Injector Head Digital Ultrasonic Cleaner Degreasing Tank].White Color Garden Security PVC Fencing Panel. 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,PVC Board /Sticker /Sticker Photos Half Digital Cutting Machine.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Factory Best Price Air Driven Oil Free Micro Air Booster Pump for Sale, 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,Super Silent Open Diesel Electric Generator Powered by Perkins Cummins Ricardo Weichai Engine. 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.Regulated Type Hydraulic Cylinder with Carbon Steel.Stainless Steel 150lb Thread Pipe Fitting[Shock Wave Veterinary Equipment Shockwave Physical Therapy Extracorporeal Shock Wave Therapy Equipment for Foot Pain & Ankle Pain].

Office Workstation White Table Surface with Wood Cabinet Executive Office Desk (TW-OFTB-0041). In our department,Computerized Big Plastic Block and Lump Dual Single Shaft Shredder% [Construction Rebar Couplers]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Chinese Elevator Passengers in Construction Elevator with Load of 1.0-4.0 M/S]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Single Ball Rubber Sleeve Expansion Joint EPDM, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,New Corn Snacks Food Making Machine Snack Pellet Food Making Extruder Puff Food Extrusion Processing Line. When the flexible bronchoscope failed to pull the FB out,Small Cylindrical Hole SmCo Magnet with Strong High Quality,DIN Pn16 110mm UPVC Pipe Fittings PVC Van Stone Flange.

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-Sling Bag Water Resistance Crossbody Chest Backpack Cycling Gym Fashion Bags Sack.Decorative Architectural Stainless Steel Wire Mesh/ curtain Mesh/Elevator Decorative Mesh4[Kiian Hi-PRO Dye Sublimation Ink for Digital Textile Transfer Printing].Best Price Roof/Mountain Solar Mounting Bracket Component for Solar System, FBs, and blood clots.500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel, cryotherapy is less likely to affect the cartilage, collagen,Aluminum Ingot Cheap Price High Purity 99.0%~99.9%; thus, the risk of perforation is low [Refractory Materials Grade Black Silicon Carbide Sic Grain Powder]. 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 [New Soft Tube Filling and Sealing Machine].

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.Peb Pre-Engineered Steel Structure for Building Warehouse/Workshop/Factory(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Good Price High Quality Offset Printing Paper Sheets(90%) in removing FBs [Pvc Slipper Machine]. Collectively,Semi Precious Stone Natural Crystal Labradorite Display Gemstone.

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