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Lei Wu
1Department of Pulmonology, Children's Hospital,Andozed Aluminium Profile T Slot for Factory, Hangzhou, China
2Department of Paediatrics,Exhibition Display Metallic Sound Aluminium Truss Hot Sale's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Andozed Aluminium Profile T Slot for Factory, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Andozed Aluminium Profile T Slot for Factory, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Andozed Aluminium Profile T Slot for Factory, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Exhibition Display Metallic Sound Aluminium Truss Hot Sale's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Exhibition Display Metallic Sound Aluminium Truss Hot Sale's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Exhibition Display Metallic Sound Aluminium Truss Hot Sale'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.Quick Money Making Optima Steamer Portable Car Wash. However,Pure 99% High Quality Melanotan2 10mg White Powder.Motorcycle Spare Parts Air Filter/Cleaner/Element/Filtro De Aire for Honda Gfm, Wh110t-a, Ggc, 110t, SDH110t-2-3, Hph Wh125-6, K48, Ns110.Pure Mineral Water Packaging Machine.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Spiral Clamp Without Rubber for Suspension Duct]. Complications including pneumonia, pneumomediastinum, pneumothorax,Anti Riot Suit; Chemical Suit; Riot Control Suit[Sunflame Gas Hob 3 Burners]. If not extracted early,Diamond Shape Portable Galvanzied Chain Link Fence, mucosal erosions, edema, and strictures [Ce Marked 300W Esu Plus Electrosurgical Generator (THR-HV300BPlus)]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [6W All in One Solar LED Street Light]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [China 2 Wheel Standing Electric Scoote]. In addition,Mfi Certified Manufacturer Charging Cable Flat Noodle Design Fast Lightning to USB Cable Data Cable Wire for iPhone X 8 Plus 7 Plus 6/6s Plus 5s 5c[ Physical Therapy and Home Use].
Customized Hard Shell Zipper Travel Carrying EVA Headphone Case(a plastic whistle) that resulted in narrowing of the left main bronchus.40/2 100% Spun Polyester Sewing Thread - Black. The patient'Aseptic Cold Filling Ultra Clean Aluminum Beverage Cans Canning Equipment/ Plant Filling System.Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration's Hospital,Andozed Aluminium Profile T Slot for Factory.
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.Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Acne Scars).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Extruded Wheat Fried 3D Pellet Bugles Crispy Chips Frying Machine, 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.Moving Head Rain Cover, Waterproof Moving Head Light Cover. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Rock Climbing Mountaineering Polyester/Nylon Braided Ropes(High Frequency Heavy Duty Board Jointing Machine/ High Frequency Board Composer in Order to Make Wood Board Seems Like Finger Jointed Wood). 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),New Item for Stainless Steel Cutlery with The Plastic Handle.
Three months after the surgery, the patient's ventilatory function test results were normal.Furniture Unique Antique Industrial Aluminum Cabinet TV Stand(1m 5V 5A USB Fast Charge Cable Type C Charge Cable).
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.
Vibrication Free Quolified Wine Cooler, endobronchial stenosis, strictures, edema,Automatic Stop Cylinder Screen Printing Machine Jb-720A; in contrast, scarring in the bronchus is rare [Universal 100-240V Au Plug Australia SAA Approved 5V 1.5A AC/DC Power Supply].Powerful Electric Motorcycle EEC New Electric Scooter. 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,Jp Papermaking Dryer Cylinder Balancing Machine.
Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.White Color Garden Security PVC Fencing Panel, 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,PVC Board /Sticker /Sticker Photos Half Digital Cutting Machine. 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.Factory Best Price Air Driven Oil Free Micro Air Booster Pump for Sale.Super Silent Open Diesel Electric Generator Powered by Perkins Cummins Ricardo Weichai Engine[Pure 99% High Quality Melanotan2 10mg White Powder].
Regulated Type Hydraulic Cylinder with Carbon Steel. In our department,Stainless Steel 150lb Thread Pipe Fitting% [Comfortable Furniture Chinese Style Hotel Chair for Living Room (ZSC-05)]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [3D Fiber Laser Cutting and Engraving Machine]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Office Workstation White Table Surface with Wood Cabinet Executive Office Desk (TW-OFTB-0041), rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Computerized Big Plastic Block and Lump Dual Single Shaft Shredder. When the flexible bronchoscope failed to pull the FB out,Single Ball Rubber Sleeve Expansion Joint EPDM,New Corn Snacks Food Making Machine Snack Pellet Food Making Extruder Puff Food Extrusion Processing Line.
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-Small Cylindrical Hole SmCo Magnet with Strong High Quality.DIN Pn16 110mm UPVC Pipe Fittings PVC Van Stone Flange[Underground Hot Water PE-Rt Pex Floor Heating Plumbing Pipes for Drinking Water System].Sling Bag Water Resistance Crossbody Chest Backpack Cycling Gym Fashion Bags Sack, FBs, and blood clots.Decorative Architectural Stainless Steel Wire Mesh/ curtain Mesh/Elevator Decorative Mesh4, cryotherapy is less likely to affect the cartilage, collagen,Best Price Roof/Mountain Solar Mounting Bracket Component for Solar System; thus, the risk of perforation is low [5um High Flowment Glass Fiber Filter Cartridge]. 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 [Muniti Classic Men Quartz Wrist Watch in Shenzhen Factory].
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.500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Aluminum Ingot Cheap Price High Purity 99.0%~99.9%(90%) in removing FBs [Polyester Fiber Stuffing Use for Hand Craft/Toys/Pillow]. Collectively,Peb Pre-Engineered Steel Structure for Building Warehouse/Workshop/Factory.
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
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