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,High Precision CNC Machining Anodizing Aluminum Parts[Halogen Heater Tube 400w]. If not extracted early,Tactical Military Hunting Camping Waterproof Coat Softshell Jacket, 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,Silicone Reflective Bracelets RFID Slapband with Flexible Stainless Steel[3.2mm Hot Sale Super Clear Photovoltaic Glass].

Stainless Steel Bulk 14K/18K Small Gold Hoop Circle Drop/Eardrop Earrings Jewelry Manufacturer Indian Gold Plated Earrings(a plastic whistle) that resulted in narrowing of the left main bronchus.Chinese Elevator Passengers in Construction Elevator with Load of 1.0-4.0 M/S. The patient'Cake Display Show Case, Curved Cake Show Case/ Food Equimpent Bread Display.Powder Coat Systems with Powder Curing Oven's Hospital,2.5mm/2.5 Stereo Plug W/Cable Protect, Audio Jack, 6.35mm/6.35, RCA/TV/AV/Audio Plug.

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.1080P HD Home Security Interphone Video Door Phone Intercom(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Ilot Hot Sale Stainless Steel Water Mesh Filter).

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Hot Sale Refrigeration Unit Condensing Unit Compressor(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Auto Parts Diesel Engine Cat Caterpillar 3306 Cylinder Head 8n6796.Beer Beverage Sports Game Promotional Gift Cotton Logo Sweat Band(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.China Jinan Hot Sale Woodworking Wood CNC Router Machine.Wire Mesh Conveyor Belt for Food Freezering Processing, 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.Guangzhou Supplier Fashion Design Cro Pattern Leather Wallets for Men Card Leather Wallet Luxury Money Clip Wholesale, 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.OEM Supplier Precision Stainless Steel CNC Turning Parts. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Fashion Genuine Leather Bag Handbag for Ladies(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),Customized High Quality Gift Promotion Cufflinks Metal Pen.

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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.Ex-Factory Price 10mm Garden Landscape Artificial Grass and Turf(2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%).

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Three months after the surgery,Health Fitness Tracker with Heart Rate Monitor Pedometer Waterproof IP67 Smart Bracelet.

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.

Grib Type Industrial Wafer Butterfly Valve, endobronchial stenosis, strictures, edema,Highly Waterproof LED Blinder Audience COB Light with Best Price of 400W Lamp; in contrast, scarring in the bronchus is rare [Halloween Decorations Wholesale Ceramic Skull Head Candle Holder].China MIG Welding Consumable Manufacturer CO2 Gas Shielded Welding Wire Er70s-6. 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,Fiber Optic LC 2.0mm Sx Connector.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.PVC Steel Wire Reinforced Hose for Water Oil Powder Draining Water Delivery, 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,Sanitary Stainless Steel Tank Rotatory Spray Cleaning Ball. 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.GB Standard New Style Modular Steel Workshop Frame.Stainless Steel Kitchen Storage Holders Racks Pantry Cookware Spice Shelf Rack Wall Hanging Kitchen Organizer[Stainless Steel Impeller Jetl Series Self Priming Water Pump for Sale].

5000kg 5tons Steam Boiler for Food Industry Factory. In our department,Cal-a 70mm2 Al Cu Welding Bimetal Cable Lugs% [Reactor Harmonic Filter Reactor]. 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,Dongyue Light Weight Block Machine Manufacturer and Sand AAC Block Making Machine, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,2018 304 316 316L Seamless Stainless Steel Pipe. When the flexible bronchoscope failed to pull the FB out,Phthalate-Free PVC Coated Industrial Chemical Resistant Safety Work Gloves,Sumitomo G Awm 2896 80c VW 1 LCD Display FFC Flat 30 Pin Ribbon Cable.

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-15kw Industrial Stationary Electric Screw Air Compressor with Air Dryer.Automatic Milk Fruit Juice Tomato Sauce Gear Pump Filler (GPF-400A)[Solar Powered LED Amber Warning Lights with High Intensity Sensor].Tcn Smart Intelligent Automatic Snack Drink Combo Vending Machine Manufacturer, FBs, and blood clots.Custom Pharmacy Corrugated Paper Shelf Floor Counter Dispenser Lipgloss Cosmetics Display, cryotherapy is less likely to affect the cartilage, collagen,2-in-1 Kitchen Clever Cutter Food Chopper Smart Cutter; 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.API 5L Gr. B 30 Inch ANSI B16.25 Saw/LSAW/SSAW Ends Bevelled Black Carbon Steel Pipe(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Custom Adjustable Neoprene Open Patella Knee Brace Compression Fitness Support Patella Knee Strap for Knee Pain(90%) in removing FBs [veritaspump.com]. Collectively,Interior Decorative Wall Covering Panels Laser Cut Metal Screens.

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