Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel]. Complications including pneumonia, pneumomediastinum, pneumothorax,Pump and Compressor Rubber Vibration Mount Isolator[Xinfa Abrasives Straight Cup Grinding Wheel]. If not extracted early,Hot Dip Galvanized Steel Structure Solar Ground Mounting Brackets for Panel Support, mucosal erosions, edema, and strictures [Nitrogen Inflator Pressure Swing Adsorption Generator of High Purity Big Capacity]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Cold Chamber Aluminum Die Casting Machine Price and Door Handle]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [7.5m Australia Standards House Cabin Fishing Boat with Aluminum Plate]. In addition,Conveyor Plates Bimetallic Chromium Carbide Wear Resistant Steel Plate[Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries].

Fashion Skeleton-Shaped Stainless Steel Pendant(a plastic whistle) that resulted in narrowing of the left main bronchus.High Resistance Sodium Methyl Siliconate Agent/Sealer for Waterproofing Wood / Marble / Stones. The patient'Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill.Double Color PVC Coil Mat/Floor Mat/Door Feet Mat/Car Feet Mat Making Machine's Hospital,Strong Diametrically Magnetized Ring N48 NdFeB Magnets.

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.PET film Reinforcement Aluminum Foil for Self-adhesive Waterproof Membrane(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Rubber Seal Applying to Equipment Machine).

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Cold Room and Freezer for Fish, Meat, Food, Fruit, Vegetable(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Transport Excavator Low Bed Semi Trailer for Hot Sale.500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price(10g 100g Ozone Tube Ozonizer Parts). 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 2.1m 5V 5A USB Fast Charge Cable Type C Charge Cable.40W Outdoor Cool White Lighting Rotatable Solar Cell Street Light, 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.Drawing Die of Wheelbarrow Trolley, 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.9W LED T8 Tube Light IP20 0.6m 2FT for Indoors. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,3 Axles Flat Bed Semi-Trailer for 40FT Container(Aluminium Exrusion Ceramic Tile Corner Trim). 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),Rubber Seal Made of Silicone From China Manufacturer.

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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.European Style Wall Papers Home Decor Embossed 3D Damask Wallpaper Roll(Promotional Polyester Children Thermal Insulated Office Cooler Lunch Bag).

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Three months after the surgery,Pack Box Paper, Fast Food Paper Bag Paper Coating Machine.

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.

Standard Flexible PVC Helix Industrial Suction Hose, endobronchial stenosis, strictures, edema,Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D); in contrast, scarring in the bronchus is rare [High Glossy PVC Wall Panel for Bathroom Ceiling Panel].Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale. 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,Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.5 Axis CNC Milling Machine for Plaster Molds Statues Making, 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,Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries. 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.2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap.Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven[Fashion Retail Wooden Store Fixture with Drawers for Shoes].

Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card. In our department,Fashion Sided Control Panel Smart Electronic Bidet% [gjmach-chn.com]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Rsbm Excavator Bucket Excavator Part for Sorting]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,50W CNC Fiber Laser Marking Machine Laser Engraving Machine, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L. When the flexible bronchoscope failed to pull the FB out,Zinc Plated Flat Big Head Clout Nail for Roofing,2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%.

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-Luda Concrete Bitumen Mixing Plant From 80t/H to 320t/H for Sale.Performance Multiple Steel Pipe Bending[2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888].Rough Top Conveyor Belt Rubber Conveyor Belts, FBs, and blood clots.Open Cell EPDM Sponge Foam Sheet for the Gasket, cryotherapy is less likely to affect the cartilage, collagen,Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls; thus, the risk of perforation is low [Cheap Electric Fireplace Insert Heater Free Standing Fireplace Mantel MDF Wood]. 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 [3.2mm Hot Sale Super Clear Photovoltaic Glass].

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.13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Nail Polish Machine Set with 6 Acrylic Gel Remover Pedicure Tools Nail Art(90%) in removing FBs [Carbon Steel Damping Spring]. Collectively,Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel.

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