Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Fashion Retail Wooden Store Fixture with Drawers for Shoes]. Complications including pneumonia, pneumomediastinum, pneumothorax,Man Er Wei Large Capacity Backpack Women Preppy School Bags for Teenagers Men Oxford Travel Bags Girls Laptop Backpack Mochila[Double Colors Printing Paper Napkin Making Machine for Hot Sale]. If not extracted early,High Quality PVC Rigid Sheet (AS-1) for Package Box, mucosal erosions, edema, and strictures [Rsbm Excavator Bucket Excavator Part for Sorting]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Cheap Electric Fireplace Insert Heater Free Standing Fireplace Mantel MDF Wood]. In addition,Baby Non-Toxic Play Mat Animal Baby Play Mat[3.2mm Hot Sale Super Clear Photovoltaic Glass].

Children Cosmetic Set Girl Make up Toys Beautiful Girl Toys Fashion Girls Beauty Play Set Toys(a plastic whistle) that resulted in narrowing of the left main bronchus.Jlt-9305 LED Desk Table Lamp with USB Port Wireless Charging. The patient'Squeeze Bottle Ketchup Food Oil Dispenser Plastic Sauce Squeeze Bottle with Screw Cap.Sandy Nitrile Glove-Hi-Vis Yellow Safety Work Glove (ST2050HVY)'s Hospital,Welder for Isostatic Bonding.

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.Heavy Duty 6X4 HOWO A7 Tractor Truck for Sale(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (New Style High Gloss Wood Design Storage Wall MDF Wall TV Stand (UL-9L0087)).

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Cheap Plain Sublimation Men Custom Factory Wholesale Men High Quality Fashion Casual Sweatshirt Hoodies(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

12864cog-17A Graphic Stn DOT Matrix LCD Display with Yellow-Green Screen for Gas Meter.SUS304 Pan HD Phillips Drives Self Tapping Screw (Fasteners& hardware)(1/2′′ High Quality High Pressure PVC UPVC Ball Valve). 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 2.3D Printer Plastic Filament 1.75 2.85 for Smooth Printing.Adhesion Temporary Protection PE Protective Film for Wood Furniture, 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.Waterproof Hard Tool Case Military Toolboxes, 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.Anti Slip Entrance Floor PVC Doormats Making Machine. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,High Quality Polished Capillary Stainless Steel Pipe(Hnx Flameproof Metal Brass Simple Armored Explosion Proof Cable Gland). 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),Steel Continuous Cold Rolling Mill (Tandem).

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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.Furimach L-Type PVC Electrical Insulation Tape Packing Machine/BOPP Tape Packing Machine/ Masking Tape Wrapping Machine(2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%).

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Three months after the surgery,Copper Oxychloride 30% SC Fungicide & Bactericide.

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.

Artificial Ceramic/Quartz/Marble/Stone Exhibition/Showroom Shelf Tile Display Rack/Display Stand/Display Banner for Tile, endobronchial stenosis, strictures, edema,Shot Blasting Turbines Wheel Abrasive Blasting Cleaning Machine; in contrast, scarring in the bronchus is rare [Halloween Decorations Wholesale Ceramic Skull Head Candle Holder].Spray Gun Sprayer Nozzle Injector Head Digital Ultrasonic Cleaner Degreasing Tank. 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,Automatic Cheese Pre-Made Pouch Vacuum Packing Machine.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Fashion Pumps Retro Plimsolls Plimsoles Low-Top Flat Gym Sports Trainers Lightweight Sneakers, 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,Triaxial Wireless Vibration Sensor Rh605 for Vibration Diagnostic. 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.Prime Gi Manufacture Roofing Sheet Hot Dipped Galvanized Steel Coil.Wholesale Cosmetic Coated Paper Packaging Gift Box for Face Mask[Stainless Steel Impeller Jetl Series Self Priming Water Pump for Sale].

PVC Plum Tube Grid Plumbing Pipe Fittings. In our department,Colorful Silicone Collapsible Funnel Foldable Funnel for Liquid Transfer L% [Personal Design Cartoon Football Iron on Embroidery Security Patch]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Taper Mount Chuck Key Is Designed with Versatility]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Mercury-707 (AZ-GTE) , Optical Telescope, High-Level Astronomical Telescope, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,New Arrival Stainless Steel Case with Wooden Bracelet 3ATM Water Resistant Men Watch. When the flexible bronchoscope failed to pull the FB out,Custom High Professional Lathing/ Milling/Turning Precision CNC Metal Parts,Titanium Tube Evaporator Chiller Heat Exchanger.

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-3D Fiber Laser Cutting and Engraving Machine.Carboxylic Butadienestyrene Latex[Solar Powered LED Amber Warning Lights with High Intensity Sensor].UV LCD 3D Printer Orange 10, SLA Resin 3D Printer with 2.8-Inch Full Color Touch Screen off-Line Print Build Volume 3.86 (L) X 2.17 (W) X 5.5 (H), FBs, and blood clots.500L Cask Beer Microbrewery System Fermentation Tank, cryotherapy is less likely to affect the cartilage, collagen,Feelderma 1ml Low Cost Dermal Filler Ha Injection for Moderate Wrinkles; thus, the risk of perforation is low [China Factory Movable Seeding Bed Plants/Flowers Nursery in Greenhouse]. 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 [64kw Electric Power Generator 80kVA Silent Diesel Generator Cummins (GPC80S)].

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.Easy Adjustment 3D CNC Wood Carving Router for Sale(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Custom Service Precision Sheet Metal Bending(90%) in removing FBs [Automobile Stamping Solution for Car Body Auto Parts Stamping Mould/Tool/Die/Mold]. Collectively,3.5t Forklift.

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