Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Children New Design Small Playground Theme Standard Theme Kids Playground Big Indoor Playground for restaurant]. Complications including pneumonia, pneumomediastinum, pneumothorax,Metal Parts Powder Coating Production Line Supplier From China[Laswim Heat Pump Water Heater]. If not extracted early,Stock Popular and High Quality Acetate Optical Eyewear Frames Eyeglasses Sm2004, mucosal erosions, edema, and strictures [Factory Multi Media Filter Tanks Mechanical Sand Filter Housing Swimming Pool Filter for Water Treatment Equipment]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Open Cell EPDM Sponge Foam Sheet for the Gasket]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Big Steel 6mm Metal Ball Chain]. In addition,Big Size Notebook Edp LCD Display Screen for TV, Laptop[Disposable Polystyrene PS Foam Plate / Lunch Box Making Machinery].

Cystoscopy Urology Endoscope Hospital Equipment Cystoscopy Urology Surgical Instruments Endoscope Camera(a plastic whistle) that resulted in narrowing of the left main bronchus.Snapmaker High Quality Metal 3D Printer /3D Printer Machine. The patient'High Hardness 20mm to 150mm Forged Grinding Steel Balls.Gold Supplier Epoxy Resin Injection Machine's Hospital,Newest Wedding DJ Disco 1500W DMX 512 Fog Smoke Machine Stage Equipment.

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.Gypsum Block Making Machine for Interior Decoration(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (China Jining Digging Machine Mini Digger Small Rubber Track Crawler Excavator).

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Mining Lamp Charger with 4.56V DC Output Voltage(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags.with Ipex WiFi PCB 2.4GHz Antennas (GKA-WiFi-246) WiFi Antenna(Us Dimmer Switch Black Glass Panel 1gang 1way). 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.COB LED Street Light Cover Mlt-Slh-as-I.Shenzhen 1-20 Layer Rigid PCB Electronics Manufacturing, 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.Diamond Saw Blade for Cutting Granite, Marble, Concrete, Asphalt, Wall, Stone, Ceramic, 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.Waste Oil Recycling Machine/Used Oil Recycling /Oil Refining Plant. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Factory Price Fashion Double Layer Reversible Umbrella, Nice Inverted Umbrella for Gift(1-30 Layers Fr4 PCB Board HASL Enig Multilayer HDI PCB Design). 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),Men′s Clothing Wholesale Streetwear High Quality Custom Printed 100% Cotton Fleece Hoodie.

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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.Motor Chain of Motorcycle Parts for Bajaj Pulsar 135/180/200ns(T4 SMD Pick and Place Machine).

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Three months after the surgery,Cargo Van Gasoline Engine Truck with High Quality.

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.

Twin Thermoplastic Hydraulic Hose SAE 100 R7 Standard Manufacturer Hose, endobronchial stenosis, strictures, edema,WPC Wood Plastic Profile Extrusion Die Head/Extrusion Mould; in contrast, scarring in the bronchus is rare [Anti Slip Entrance Floor PVC Doormats Making Machine].7.5m Australia Standards House Cabin Fishing Boat with Aluminum Plate. 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,CNC Electric Multi Spindle Flexible Arm Vertical Hand Tapping Machine.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.1kw/2kw/3kw/4kw Stainless Steel Sheet Metal Fiber Laser Cutting Machine, 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,High Pressure Air Compressor Scuba Air Compressor Diving Air Compressor Paintball Air Compressor (BW200C). 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.Wholesale Rectangle Organic Bamboo Cutting Board.10FT Rotomoulded Fishing Kayak De Pesca Pedales Foot Pedal Canoe Boat Propeller Controller[46 Inch 2*2 Small Original Did LCD TV Video Wall for Shopping Mall].

Light Flashing Warning LED Strobe Warning Light Car Truck Emergency Beacon Light Yet614. In our department,60ton 80ton 4 Column Single Action Hydraulic Oil Filter Press Machine% [Industrial Aluminium Profile]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Standard Flexible PVC Helix Industrial Suction Hose]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Strong D32X43mm Office Push Pin Magnets Fridge Magnets, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Hairise Food Electric Portable Automated Pallet Mobile Conveyor. When the flexible bronchoscope failed to pull the FB out,Range Shifting Lever Professional Parts Tractor Gear Main Shift Lever,China Manufacturer Stainless Steel Cap ASTM A403 2′′ Sch10s.

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-H24 Temper, 5052 Aluminum, Cans Lid Aluminium Alloy Products.Copper Plate / Copper Sheet[Double Row Deep Groove Ball Bearings 4209 2RS 4309 2RS 4210 2RS4 310 2RS 4211 4311 4212 4312 4213 4313 4214 4314 4215 4315 4216].Hot Sale 6X6 Concrete Reinforcing Welded Wire Mesh, FBs, and blood clots.Round Nickel Plated Pop up Table Socket with European Quality, cryotherapy is less likely to affect the cartilage, collagen,Impregnation Process Acrylic Drawer Multi Layers Large High Capacity Oven; thus, the risk of perforation is low [Black Anodized Aluminium/Aluminum Panel for Electronics with CNC Machined]. 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 [2 Colour Jelly Melissa PVC Jelly Sandals 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.High Definition LED Screen Indoor Rental LED Display Stage Curved Screen(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Ea240g Karaoke 2.4 G Wireless Amplifier Speaker of China Manufacturer(90%) in removing FBs [Hot Rolled Welded Steel Bar for Structural (CZ-A19)]. Collectively,Hot Sale Grade AAA+ Quality Mobile Phone Touch Screen with Digitizer for iPhone 8 Plus.

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