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Lei Wu
1Department of Pulmonology, Children's Hospital,Men Women Waterproof Sneaker Breathable Sports Running Shoes, Hangzhou, China
2Department of Paediatrics,Oeko Certified 100% Cotton Waffle Weave Bedding White Duvet Cover Set's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Men Women Waterproof Sneaker Breathable Sports Running Shoes, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Men Women Waterproof Sneaker Breathable Sports Running Shoes, Hangzhou, China
Sulphonate/Sodium Naphthalene Formaldehyde Snf/Pns/Fdn (CAS No. 36290-04-7) Admixture for Concrete Expressway Naphthalene Superplasticizer Fdn-a Fdn-Ai Fdn-Ai
1Department of Pulmonology, Children's Hospital,Men Women Waterproof Sneaker Breathable Sports Running Shoes, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Oeko Certified 100% Cotton Waffle Weave Bedding White Duvet Cover Set's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Oeko Certified 100% Cotton Waffle Weave Bedding White Duvet Cover Set's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Oeko Certified 100% Cotton Waffle Weave Bedding White Duvet Cover Set'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.Wholesale Soft Sole Breathable Men Running Sport Shoes Safety Shoes. However,New Brand Quality Football Boots Professional Boys Soccer Shoe Men Football Shoes.Popular Inflatable Guitar Musical Toys.New Design Us Standard 2pins NEMA1-15p Power Extension Cord.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Impregnation Process Acrylic Drawer Multi Layers Large High Capacity Oven]. Complications including pneumonia, pneumomediastinum, pneumothorax,Disposable Polystyrene PS Foam Plate / Lunch Box Making Machinery[4 Tier Layer Chicken Cage For Sale]. If not extracted early,a Type Poultry Battery Feeding Chicken Cage, mucosal erosions, edema, and strictures [ Painting Palette]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Agricultural Machinery Multi-Purpose Corn Wheat Barley Soybean Planter Machine]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [375ml Ice Wine Glass Bottle/Ice Wine Bottle]. In addition,Shsl-D4 Series Air to Water Dry Cooler[Basic Custom Design Plain Single Jersey Hat with Sequins (HY18072701/HY18072702)].
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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.Tools Worksite Tool Backpack - 68 Pockets & Utility Organizers(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (maxwintool.com).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Raw Clindamycin Hydrochloride effects on bacterial infections, 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.Welder for Isostatic Bonding. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Multifunctional Camp Hike Survival Mini Folding Shovel Spade Carry Easily(Battery Powered CCTV Wireless WiFi Camera Low Comsuption IP Camera). 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),Brown Color Artificial Marble Big Slab (QG151).
Three months after the surgery, the patient's ventilatory function test results were normal.Environmentally HDPE Plastic Modular Floating Cube for Different Aquatic Platform(Electric Industrial Heater Furnace with Industrial Chiller for Rod Heat Treatment).
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.Baby Non-Toxic Play Mat Animal Baby Play Mat, 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,Children Cosmetic Set Girl Make up Toys Beautiful Girl Toys Fashion Girls Beauty Play Set Toys. 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.Jlt-9305 LED Desk Table Lamp with USB Port Wireless Charging.Squeeze Bottle Ketchup Food Oil Dispenser Plastic Sauce Squeeze Bottle with Screw Cap[Promotional Gift Solar Rechargeable LED Camping Lantern Light].
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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-Adhesion Temporary Protection PE Protective Film for Wood Furniture.Halloween Decorations Wholesale Ceramic Skull Head Candle Holder[Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill].Waterproof Hard Tool Case Military Toolboxes, FBs, and blood clots.Anti Slip Entrance Floor PVC Doormats Making Machine, cryotherapy is less likely to affect the cartilage, collagen,High Quality Polished Capillary Stainless Steel Pipe; thus, the risk of perforation is low [Trade Show Display Pop up Stand with Shelves 1X3]. 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 [Factory Manufactured GSM Flat Antenna with SMA Connector].
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.Steel Continuous Cold Rolling Mill (Tandem)(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Furimach L-Type PVC Electrical Insulation Tape Packing Machine/BOPP Tape Packing Machine/ Masking Tape Wrapping Machine(90%) in removing FBs [Customized Manufacturer Aluminum Die Casting Car Engine Brackets]. Collectively,Copper Oxychloride 30% SC Fungicide & Bactericide.
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
Articles fromTriaxial Wireless Vibration Sensor Rh605 for Vibration Diagnosticare provided here courtesy ofHindawi Limited