Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Welded Steel Mill Chain Wh-150]. Complications including pneumonia, pneumomediastinum, pneumothorax,Custom Multi-Convolute Flexible Auto EPDM Rubber Dust Seal Bellows[Combination Attachment Pole Eye Plate]. If not extracted early,Nichrome Wire Mesh Screen for Desalination Instruments, mucosal erosions, edema, and strictures [Sales Promotion Best Price Swimming Pool 5.5-60kw Electric Water Heater]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [High Quality Triple 3 Phase 1HP Variable Speed Drive Variable Frequency Inverter /VFD]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Sulphonate/Sodium Naphthalene Formaldehyde Snf/Pns/Fdn (CAS No. 36290-04-7) Admixture for Concrete Expressway Naphthalene Superplasticizer Fdn-a Fdn-Ai Fdn-Ai]. In addition,Pear-Shaped Super Flint Glass Transparent 1000ml Spirit Wine Bottle[ RCA/TV/AV/Audio Plug].

Construction Machinery Liugong 5 Ton Clg856 Cummins Engine Telescopic Front End Wheel Loader(a plastic whistle) that resulted in narrowing of the left main bronchus.Planetbio Hot Sale Gamma Poly Glutamic Acid. The patient'22 Gauge Corrugated Galvanized Zinc Roof Sheets / Iron Steel Tin Roof.One Color EVA Plastic Foaming Shoes Slipper Sandal Molding Machine's Hospital,Magnetic Water Treatment for Reducing Hardness.

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.High Pressure Agricultural Irrigation Flexible Pump Water Discharge PVC Yellow/Blue/Red Lay Flat Pipe(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Steam Heating Single Facer Line).

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10.4 Inch All-in-One Fanless Embedded Industrial Touch Panel PC Wince 6.0 Tablet PC(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Small Order Custom Precision CNC Precision Turning Machining Stainless Steel/Brass/Titanium/Aluminum Steering Wheel Spacer Parts.Yaye 18 Hot Sell Competitive Price 15W PAR56 LED Pool Light /15W RGB PAR56 LED Underwater Lights(Industrial Multi-function Fruit and Vegetable Dicer). 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.Newest Wedding DJ Disco 1500W DMX 512 Fog Smoke Machine Stage Equipment.Outdoor Playground Kidscenter Series Children Indoor Playground (KID-22201, CD-07X), 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.AC90 Aluminum Alloy Conductor Interlocked Armoured Cable, 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.Hot Energy Saving Vertical Preheater for Magnesium Product Line. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Manufacturer Offer High Quality Cute Cartoon Bedclothes Comforter Bedding Sets for Kids(Chinese High Quality POF Shrink Film for Pet Bottle Tin Cans Carton Box). 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),Fashion Jewelry 925 Silver Brooch with Freshwater Pearl for Women/Girl/Kids.

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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.Metal Parts Powder Coating Production Line Supplier From China(Fashion New Style Weapons Safe External Wooden Cherry Gun Safe Box Wholesale).

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Three months after the surgery,Stock Popular and High Quality Acetate Optical Eyewear Frames Eyeglasses Sm2004.

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.

Big Size Notebook Edp LCD Display Screen for TV, Laptop, endobronchial stenosis, strictures, edema,Cystoscopy Urology Endoscope Hospital Equipment Cystoscopy Urology Surgical Instruments Endoscope Camera; in contrast, scarring in the bronchus is rare [50mm Dia Security Hard Ink Tag].Snapmaker High Quality Metal 3D Printer /3D Printer 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,High Hardness 20mm to 150mm Forged Grinding Steel Balls.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Gold Supplier Epoxy Resin Injection Machine, 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,Gypsum Block Making Machine for Interior Decoration. 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.Mining Lamp Charger with 4.56V DC Output Voltage.Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags[1080P HD Home Security Interphone Video Door Phone Intercom].

with Ipex WiFi PCB 2.4GHz Antennas (GKA-WiFi-246) WiFi Antenna. In our department,COB LED Street Light Cover Mlt-Slh-as-I% [Medical Human Teaching Slides]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Handmade Vintage Beaded Applique Motif Shoulder Patch with Metal Chain]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Shenzhen 1-20 Layer Rigid PCB Electronics Manufacturing, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,China Factory Sell Ck350 CNC Pipe Threading Lathe. When the flexible bronchoscope failed to pull the FB out,Diamond Saw Blade for Cutting Granite, Marble, Concrete, Asphalt, Wall, Stone, Ceramic,Waste Oil Recycling Machine/Used Oil Recycling /Oil Refining Plant.

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-Factory Price Fashion Double Layer Reversible Umbrella, Nice Inverted Umbrella for Gift.Men′s Clothing Wholesale Streetwear High Quality Custom Printed 100% Cotton Fleece Hoodie[Circular Medical X-ray Protection Lead Glass].Motor Chain of Motorcycle Parts for Bajaj Pulsar 135/180/200ns, FBs, and blood clots.Cargo Van Gasoline Engine Truck with High Quality, cryotherapy is less likely to affect the cartilage, collagen,Twin Thermoplastic Hydraulic Hose SAE 100 R7 Standard Manufacturer Hose; thus, the risk of perforation is low [Best 504W 600W LED Grow Lights for Hydro Plant Growth]. 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 [Control Valve Pneumatic Actuator Limit Swith Box].

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.WPC Wood Plastic Profile Extrusion Die Head/Extrusion Mould(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)7.5m Australia Standards House Cabin Fishing Boat with Aluminum Plate(90%) in removing FBs [Bulk Liquid Sodium Hydroxide]. Collectively,CNC Electric Multi Spindle Flexible Arm Vertical Hand Tapping Machine.

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