Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Cheap Electric Fireplace Insert Heater Free Standing Fireplace Mantel MDF Wood]. Complications including pneumonia, pneumomediastinum, pneumothorax,Chinese Sea Frozen Bonito Price (200g)[Heavy Load Ball Screw Driven Linear Motion Guide]. If not extracted early,Venus 2019 Hot 2216 LED Strip Decorative LED Light, mucosal erosions, edema, and strictures [3.2mm Hot Sale Super Clear Photovoltaic Glass]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [USB 100ml Aroma Therapy Ball Humidifier Ultrasonic Oil Diffuser]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [1/2′′ High Quality High Pressure PVC UPVC Ball Valve]. In addition,Customized Hot Resistant Silicone Cup Lid for Gifts[Nichrome Wire Mesh Screen for Desalination Instruments].

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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.Conveyor Plates Bimetallic Chromium Carbide Wear Resistant Steel Plate(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Horizontal Single Stage Durable Centrifugal Slurry Pump).

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Fashion Skeleton-Shaped Stainless Steel Pendant(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

High Resistance Sodium Methyl Siliconate Agent/Sealer for Waterproofing Wood / Marble / Stones.Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill(2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%). 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.Double Color PVC Coil Mat/Floor Mat/Door Feet Mat/Car Feet Mat Making Machine.PET film Reinforcement Aluminum Foil for Self-adhesive Waterproof Membrane, 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.Transport Excavator Low Bed Semi Trailer for Hot Sale, 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.500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,1m 5V 5A USB Fast Charge Cable Type C Charge Cable(Halloween Decorations Wholesale Ceramic Skull Head Candle Holder). 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),40W Outdoor Cool White Lighting Rotatable Solar Cell Street Light.

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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.High Efficiency Widely Usage Feed Pellet Machine for Dairy Farm(Stainless Steel Impeller Jetl Series Self Priming Water Pump for Sale).

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Three months after the surgery,Drawing Die of Wheelbarrow Trolley.

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.

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Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Pack Box Paper, Fast Food Paper Bag Paper Coating 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,Standard Flexible PVC Helix Industrial Suction Hose. 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.Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D).Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale[China Factory Movable Seeding Bed Plants/Flowers Nursery in Greenhouse].

Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round. In our department,5 Axis CNC Milling Machine for Plaster Molds Statues Making% [USB 2.0 a Type Right Angle USB Connector]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [64kw Electric Power Generator 80kVA Silent Diesel Generator Cummins (GPC80S)]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries, 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 Newest Promotion Flocked PVC Travel Neck Pillow with Strap. When the flexible bronchoscope failed to pull the FB out,Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven,Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card.

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-Fashion Sided Control Panel Smart Electronic Bidet.50W CNC Fiber Laser Marking Machine Laser Engraving Machine[Professional Customer Mini Grinding Machine Corn Hammer Mill for Sale].Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L, FBs, and blood clots.Zinc Plated Flat Big Head Clout Nail for Roofing, cryotherapy is less likely to affect the cartilage, collagen,2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%; thus, the risk of perforation is low [3D Printer Plastic Filament 1.75 2.85 for Smooth Printing]. 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 [Builtin 2000mAh Battery Vaporesso Target Mini 2 Kit 50W Vaper Electronic Cigarette Vs Target Mini].

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.Luda Concrete Bitumen Mixing Plant From 80t/H to 320t/H for Sale(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Performance Multiple Steel Pipe Bending(90%) in removing FBs [Fanless Mini Industrial Intel Quad-Core Nano J1900 Nuc PC]. Collectively,Rough Top Conveyor Belt Rubber Conveyor Belts.

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