Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Good Price Spc Easy Installation Waterproof Click Vinyl Flooring Sheets 3mm]. Complications including pneumonia, pneumomediastinum, pneumothorax,Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round[19X15W Big DMX Professional Stage LED Moving Head B-Eye K10]. If not extracted early,5 Axis CNC Milling Machine for Plaster Molds Statues Making, mucosal erosions, edema, and strictures [1mm Polyethylene Polypropylene Polymer Waterproof Membrane]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [New Design Us Standard 2pins NEMA1-15p Power Extension Cord]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Modern Combination Leather Office Sofa]. In addition,Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries[USB2.0 Video Conference Bluetooth Microphone].

2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap(a plastic whistle) that resulted in narrowing of the left main bronchus.Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven. The patient'Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card.Fashion Sided Control Panel Smart Electronic Bidet's Hospital,3 Axles Flat Bed Semi-Trailer for 40FT Container.

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.50W CNC Fiber Laser Marking Machine Laser Engraving Machine(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Flexible Rubber Hose Din En 853 1sn 3/8quot).

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Zinc Plated Flat Big Head Clout Nail for Roofing.2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%(Metal Parts for CNC Machines). 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.Luda Concrete Bitumen Mixing Plant From 80t/H to 320t/H for Sale.Performance Multiple Steel Pipe Bending, 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.Open Cell EPDM Sponge Foam Sheet for the Gasket, 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.Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards(Punching Machine Parts Metal Fabrication Stamping Parts). 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),Nail Polish Machine Set with 6 Acrylic Gel Remover Pedicure Tools Nail Art.

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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.Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel(Universal Active Infrared Sensor for The Alarm System).

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Three months after the surgery,Metal Cleaning Wet Sand Blasting Machine Water Sandblasting 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.

PP Bag with Recycle Material with Very Cheaper Price, endobronchial stenosis, strictures, edema,High Quality LC Quad APC Upc 4 Cores Standard Fiber Optic Adapter; in contrast, scarring in the bronchus is rare [Single /Cross Type Concertina Razor Barbed Wire Cbt-65].LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing 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,DMD Insulation Paper for Insulation Moter 6641.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Dt1703 Intelligent Bathroom Sanitary Ware Comfortable Fashion Design Smart Toilet, 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,Vitamin a Acetate 0.325miu Beadlet CAS No. 127-47-9. 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.New Building Manual Roof Tile Concrete Block Making Machine.Granular Packing Machine for Popcorn/ Biscuit/Cornmeal/ Sugar/ Fruit/Nuts/Peanut[Greenshoe Custom Printed Slipper for Women Display].

No Pedals Kids Balance Bike / Baby Running Bike / Children Walking Balance Bicycle 12inch Customizable Color Balance Cars. In our department,Sanki China Adblue Water Tank% [Shopping Carriage Bolt Special Designed]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [ Beer Bottle Capper]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,U Shape Car Door Plastic Extrusion Profile, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,FTP CAT6A Keystone Jack for Network Cable RJ45 Keystone Jack. When the flexible bronchoscope failed to pull the FB out,High End Brown Crocodile Grain Leather Laptop Bag Briefcase for Men,Waterproof Fiberglass Pleated Fly Screen Plisse Insect Screen Mesh.

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-Nash Pump Part for Stainless Steel for Oil.ASTM A106 Gr. B Cold Drawn Small Bore Seamless Pipe 6*2 High Precision Steel Tube[Set Screw with Short Dog Point /Bolt /Screw for Car].Sublimated Youth Wrestling Singlet Lycra, FBs, and blood clots.Open End Spinning Machinery for Waste Cotton Yarn/ Cotton Polyester Blend Open End Cone Yarn Spinner Machine/Superfine Silk Wool Hand Knitting Yarn Spinner, cryotherapy is less likely to affect the cartilage, collagen,Facial Cleanser PE Plastic Material Cosmetic Soft Tube Container; thus, the risk of perforation is low [CNC Milling 7075 T6 Aluminum CNC Machining]. 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 [20series 6063 T5 Aluminum Extrusion Industrial Aluminium Profile CNC Price].

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.Diamond Polycarbonate Embossed Solid Sheet(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Lower Price Best Quality GPS Antenna for 1575.42MHz GPS External Antenna, Car Antenna(90%) in removing FBs [Fiber Connector Inspection Factory OEM/ODM Products]. Collectively,Halogen Lamp/Halogen Floor Lamp/Halogen Desk Lamp/Halogen Light.

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