Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Replacement Monocular paper core Pleatco PA175 Cartridge for Hayward Star-Clear Plus C-1750]. Complications including pneumonia, pneumomediastinum, pneumothorax,Snapmaker High Quality Metal 3D Printer /3D Printer Machine[China 15 Tons Dump Truck]. If not extracted early,High Hardness 20mm to 150mm Forged Grinding Steel Balls, mucosal erosions, edema, and strictures [Auto Parts Clutch Disc for Toyota Hilux Vigo Kun25 31250-0K201]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Metal Prefabricated Sandwich Panel Steel Structure Garage]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Air Diaphragm Valve Dirty Water Dewatering Pump]. In addition,Gold Supplier Epoxy Resin Injection Machine[Perfect China Hardware Supplier Carbon Steel /Stainless Steel Pressing Parts].

Gypsum Block Making Machine for Interior Decoration(a plastic whistle) that resulted in narrowing of the left main bronchus.Mining Lamp Charger with 4.56V DC Output Voltage. The patient'Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags.with Ipex WiFi PCB 2.4GHz Antennas (GKA-WiFi-246) WiFi Antenna's Hospital,Hot Energy Saving Vertical Preheater for Magnesium Product Line.

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.COB LED Street Light Cover Mlt-Slh-as-I(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Aluminum Alloy Die Casting Spare Parts).

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Shenzhen 1-20 Layer Rigid PCB Electronics Manufacturing(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

China Factory Sell Ck350 CNC Pipe Threading Lathe.Diamond Saw Blade for Cutting Granite, Marble, Concrete, Asphalt, Wall, Stone, Ceramic(Stainless Steel Kitchen Storage Holders Racks Pantry Cookware Spice Shelf Rack Wall Hanging Kitchen Organizer). 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.Waste Oil Recycling Machine/Used Oil Recycling /Oil Refining Plant.Factory Price Fashion Double Layer Reversible Umbrella, Nice Inverted Umbrella for Gift, 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.Motor Chain of Motorcycle Parts for Bajaj Pulsar 135/180/200ns, 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.Cargo Van Gasoline Engine Truck with High Quality. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Twin Thermoplastic Hydraulic Hose SAE 100 R7 Standard Manufacturer Hose(Pure Mineral Water Liquid Liquor Wine Beer Bottle Filling Machine). 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),WPC Wood Plastic Profile Extrusion Die Head/Extrusion Mould.

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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.7.5m Australia Standards House Cabin Fishing Boat with Aluminum Plate(Laser Engraving/Marking Machine for Car Parts/Medical Instrument).

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Three months after the surgery,CNC Electric Multi Spindle Flexible Arm Vertical Hand Tapping 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.

1kw/2kw/3kw/4kw Stainless Steel Sheet Metal Fiber Laser Cutting Machine, endobronchial stenosis, strictures, edema,High Pressure Air Compressor Scuba Air Compressor Diving Air Compressor Paintball Air Compressor (BW200C); in contrast, scarring in the bronchus is rare [Heavy Duty 6X4 HOWO A7 Tractor Truck for Sale].Wholesale Rectangle Organic Bamboo Cutting Board. 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,10FT Rotomoulded Fishing Kayak De Pesca Pedales Foot Pedal Canoe Boat Propeller Controller.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Light Flashing Warning LED Strobe Warning Light Car Truck Emergency Beacon Light Yet614, 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,60ton 80ton 4 Column Single Action Hydraulic Oil Filter Press 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.Strong D32X43mm Office Push Pin Magnets Fridge Magnets.Hairise Food Electric Portable Automated Pallet Mobile Conveyor[Pure Mineral Water Packaging Machine].

Range Shifting Lever Professional Parts Tractor Gear Main Shift Lever. In our department,China Manufacturer Stainless Steel Cap ASTM A403 2′′ Sch10s% [m.dedingsilicone.com]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Bkd 2018 Cheap Plain Bulk Summer Printing Children T Shirt for Wholesale]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,H24 Temper, 5052 Aluminum, Cans Lid Aluminium Alloy Products, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Copper Plate / Copper Sheet. When the flexible bronchoscope failed to pull the FB out,Hot Sale 6X6 Concrete Reinforcing Welded Wire Mesh,Round Nickel Plated Pop up Table Socket with European Quality.

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-Impregnation Process Acrylic Drawer Multi Layers Large High Capacity Oven.High Definition LED Screen Indoor Rental LED Display Stage Curved Screen[Dog Tag Custom Dog Tag Jewelry].Ea240g Karaoke 2.4 G Wireless Amplifier Speaker of China Manufacturer, FBs, and blood clots.Hot Sale Grade AAA+ Quality Mobile Phone Touch Screen with Digitizer for iPhone 8 Plus, cryotherapy is less likely to affect the cartilage, collagen,Textile 100% Cotton Fabric Rotary Print Quilt Do6180; thus, the risk of perforation is low [Sanitary Stainless Steel Water Tank Cistern Float Ball Valve]. 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 [Factory Car Remote Flip Key Blank Remote Control Key Shell].

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.L-Cup6 Solder Phoscopper Alloy Copper Phosphorus Brazing Welding Rods(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Automatic High-Frequency Welding Pipe Making Machine for Square and Circular Tube(90%) in removing FBs [Cheap High Quality Mobility Scooter Electric Vehicle Bike for Handicapped]. Collectively,Different Color Ready Mixed Glitter Epoxy Grout for Floor Tiles.

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