Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Fluorescent Red 100% Cotton Breathable Soft Fabric T-Shirt Hi Vis Shirt Reflective Polo Shirt]. Complications including pneumonia, pneumomediastinum, pneumothorax,Baby Diaper Promotional Gift Digital Fever Thermometer[insharevape.com]. If not extracted early,Diesel Engine Crawler Wood Chipper, mucosal erosions, edema, and strictures [5/8 Wholesale Satin Ribbon Color Custom Ribbon Christmas/Festival/Holiday Decoration-071009]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing Machine]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [RFID Polyester Woven Wristband for Party and Concert Festival]. In addition,Custom Wine Metal Bottle Opener with Factory Price[Venus 2019 Hot 2216 LED Strip Decorative LED Light].

Made in China 2018 Hot New Products Elbow Gi Pipe Fitting Street Elbow(a plastic whistle) that resulted in narrowing of the left main bronchus.High Quality Truck Parts Original Ng80 Hydraulic Pump. The patient'Industrial Grade COB LED Jumbo Pen Light with Pocket Clip.Stainless Steel X-Tend Mesh Netting for Fence/ Grassland Fence Mesh's Hospital,Flexible Coupling.

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.Pressure Screen Basket for Paper Making Machine(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Hometextile Fabirc).

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Customizable Copperplate Printing Label for Food, Industry, Business(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Alumina Foam Filter Al2O3 Ceramic Foam Filter Ppi 10-60 for Metal Filtrtaion.Bamboo Wood Bathroom Bathtub Caddy Wooden Bath Caddy Tray(Insulating Gloves for High Voltage Electrical Work Gloves). 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.Portable 808nm Beauty Salon Equipment IPL Shr Elight Diode Laser Hair Removal Diode Laser 755 808 1064 Laser Diode 808nm Diode Laser Permanent Hair Removal.50W/75W/80W/100W/150W/300W/400W/450W/500W/600W/650W/700W/800W/900W/1000W/1200W/1500W LED Grow Light for Indoor Marijuana/Cannabis/Hemp Growing, 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.Smoke Density Test Apparatus, En 50268, IEC 61034 (FTech-IEC61034), 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.(CHAKME) Special High Quality Large Non Slip Ultra Thin Floor Bathroom Mats. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Nylon Braided USB C to USB C Fast Charger Flexible Type C Cable( Fiber Optic PLC Splitter Distribution Box). 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),Dog Tag Custom Dog Tag Jewelry.

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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.Transportable Steel Structure Prefab Villa Luxury Prefabricated Homes(Children New Design Small Playground Theme Standard Theme Kids Playground Big Indoor Playground for restaurant).

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Three months after the surgery,High Sensitivity Coin Scanning 24/16/8 Zone Check Walk Through Metal Detector.

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.High Quality LED PCB Board / Metal PCB / Aluminum PCB, 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,Melors Color EVA Foam Sheet. 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.Rigid Box with Ribbon Handle for Cosmetics Packaging.Tantalum Bar Tantalum Round Sheet Dia45[Big Steel 6mm Metal Ball Chain].

Replaceable Garden Farm Compact Tractor Seat. In our department,Alumina Ceramic Ball Beads in Water Treatment% [m.zbaolang.com]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Disposable Polystyrene PS Foam Plate / Lunch Box Making Machinery]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Industry High Bay Light Warehouse Supermarket Plant Usage LED Lamp 180lum/W, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Fingerprint Industrial PDA Barcode Scanner Android with Built-in Printer (T980). When the flexible bronchoscope failed to pull the FB out,Round Hot Nozzle Heater,Mining Machine High Intensity Wet Vertical Ring Electro Magnetic Separator Manufacturer.

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-NEMA C Phenolic Cotton Sheet with High Mechanical Strength.Low Investment Food Dryer Equipment[Custom Service Precision Sheet Metal Bending].Fcb+EPS+Fcb Sandwich Panel for Movable House, FBs, and blood clots.CNG Energy Saving Hot DIP Galvanizing Melting Zinc Pot with Galvanizing Furnace, cryotherapy is less likely to affect the cartilage, collagen,DIY Car Window Repair Tools Windshield Glass Scratch; thus, the risk of perforation is low [Us Dimmer Switch Black Glass Panel 1gang 1way]. 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 [Shot Blasting Turbines Wheel Abrasive Blasting Cleaning 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.Guangzhou Custom Black Hard Cardboard Box Packaging for Vacuum Bottle(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Heavy Hex Structural Bolts A325m 8s Zinc Plated(90%) in removing FBs [Steam to Water Stainless Steel  Shell and Tube Type Heat Exchanger for Air Compressor]. Collectively,Wholesale Ceramic Sublimation Magic Mug Temperature Control Color Change Ceramic Mug.

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