Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Machinery for Coconut Drink Juice and Coconut Milk Processing]. Complications including pneumonia, pneumomediastinum, pneumothorax,Super Clear Transparent PVC Low Price Cling Film for Food[Brass Garden Hose Swivel Connector]. If not extracted early,Gr90, 199*100*42, Ynf Hot Sale Customize Jaw Coupling Spider Screw Portable Air Compressor Parts Rubber Coupling, mucosal erosions, edema, and strictures [Articaine Hydrochloride Articaine HCl Powder Fast and Safety Delivery]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [2018 China Supplier Gift Toys Display Hanging Cable Packaging Box with Clear Window]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Soft Comfort Velvet Pet Cushion (WY161077-1A/C)]. In addition,Underground Hot Water PE-Rt Pex Floor Heating Plumbing Pipes for Drinking Water System[Knuckle Boom Cargo Ship Deck Crane Series].

Air Diaphragm Valve Dirty Water Dewatering Pump(a plastic whistle) that resulted in narrowing of the left main bronchus.Rsbm Excavator Bucket Excavator Part for Sorting. The patient'Various Sizes Built-in Active GPS Antenna for Tablet GPS Patch Internal Antenna.Foshan Factory Suppiler Simple Design Hotel Furniture's Hospital,Stainless Steel Pneumatic Manual Sanitary Food Grade Triclover Butterfly Valve (JN-BV1007).

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.FDA Approved 100% Nylon Mesh Tea Filter Bag(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (6 Inch Diesel Engine Sand Pump Set).

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Machinery for Coconut Drink Juice and Coconut Milk Processing(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Automatic Packaging Machine Used for Packaging Electrical Screw Installation Parts.Precision Timing Pulley Transmission Pulley(Double Eccentric Semi Ball Valve for Soda Ash Carbonation Tower). 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.Desktop LCD Mount with 3-Monitor 10-32 (LCD 0003).China Manufacturer Prefabricated Design Steel Structure Building Zy201891802, 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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China 2 Wheel Standing Electric Scoote(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Promotional Metal Fabrication Badge Pin, 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.Factory Cheap Good Quality 600X600 LED Panel Light. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Kitchen Towel Tissue Paper Making Machine with Perfect Price(New Item for Stainless Steel Cutlery with The Plastic Handle). 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),High Output EPE Foam Sheet Recycle Machine with Crusher.

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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.Liya Factory Direct Sale 3.8m Rib Boat Seat Console, Rubber Boat Price(Antique Copper Metal Bead Chain Connector).

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Three months after the surgery,4inch Recessed Round Ceiling Office Downlight12W IP20 with Ce RoHS.

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.

2019 High Quality Steel Workshop/Steel Structure Warehouse/Steel Building, endobronchial stenosis, strictures, edema,4 Column 2 Cylinders Hydraulic Press Machine 400 Ton Ce; in contrast, scarring in the bronchus is rare [Plastic Floating Dock Making Floating Platform Blowing Machine Price].Automatic Meatsmoke House-Meat Smoker-Smoke House Machine. 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,10g 100g Ozone Tube Ozonizer Parts.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Newest Hot Selling Solar Panel Power Solar Lighting System for The 2018 124th Canton Fair, 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,Food Grade Sweeteners Supplier Aspartame Price. 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.Nmsafety 15mil Green Nitrile Chemical Resistant Work Glove.20W/30W/50W Fiber/3D/CO2/UV/Mini Laser Marking/Engraving Machine for Metal and Nonmetal[Import Cheap Carters Baby Clothes Factory].

Logo Photo Custom 8cm 10cm 12cm 3D LED Moon Light Lamp. In our department,Prime Quality Hot DIP Galvanized Steel Strip Gi Sheet Price Galvanized Steel Coil% [NEMA 23 High Torque Hybrid Stepper Motor (57SHD4934-20S)]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [500W Stainless Steel Laser Cutting Machine Price]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Electroplating Plant Automatic Anodic Oxidation Plating for Aluminium /Magnesium, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Popular Exhaust Pipe O Clamp Accuseal Band Clamps. When the flexible bronchoscope failed to pull the FB out,Aluminum Parts with Turning, Milling, Grinding, CNC, Anodizing,Fast Delivery Good Price Integrated All in One Solar LED Street Light 60W 40W.

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-2018 China Supplier Gift Toys Display Hanging Cable Packaging Box with Clear Window.Commercial UV Sterilizer for Water Treatment System[Promotion High Quality 5 Panel Printed Logo Baseball Hat].2 Colour Jelly Melissa PVC Jelly Sandals Machine, FBs, and blood clots.20W YAG Laser Aluminum Engraving Machine, cryotherapy is less likely to affect the cartilage, collagen,E-Cigarette Smoking Battery Portable Vape Pen Pod Device Kit Vapor Vaporizer Kits; thus, the risk of perforation is low [Waterproof Handy Portable Travel Electronic Digital Luggage Scale]. 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 [3D Woodworking Machine 1325 Atc CNC Router].

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.Portal Low Beach Camp Chair Folding Compact Picnic Concert Festival Chair with Carry Bag(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Plastic Water Bottle 500ml Filling Capping and Labeling Packing Machine Price(90%) in removing FBs [Ceramic Teapot Coffee Cup Sets Factory OEM/ODM Products]. Collectively,Two Steel Rings and Rubber Washers Floating Oil Seal.

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