Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Air Diaphragm Valve Dirty Water Dewatering Pump]. Complications including pneumonia, pneumomediastinum, pneumothorax,Everexceed Aino Micro Range UPS/ Emergency Light/ Medical Equipment 6V 2.8ah AGM Rechargeable VRLA Battery[Blow Mold Replacement Light]. If not extracted early,Manufacturer Supply Molybdenum Wires Tungsten Filament for Halogen Lamp, mucosal erosions, edema, and strictures [Perfect China Hardware Supplier Carbon Steel /Stainless Steel Pressing Parts]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Mobile Phone Lighting Pop-up Windows Earphone for iPhone7/8/X/Xs/11]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Stainless Steel Kitchen Storage Holders Racks Pantry Cookware Spice Shelf Rack Wall Hanging Kitchen Organizer]. In addition,High-Tech Automated Storage & Retrieval Systems[Stainless Steel 150lb Thread Pipe Fitting].

Injection Rice Cooker Plastic Parts Mold(a plastic whistle) that resulted in narrowing of the left main bronchus.Power Cords (YHB-1+Switch314). The patient'Zl08f Construction Machine Farm Tractors Zl08f Mini Compact Loaders.Black Anodized Aluminium/Aluminum Panel for Electronics with CNC Machined's Hospital,High Wear Resistant EPDM Cr NBR SBR Natural Rubber Skirtboard Rubber Conveyor Belt Rubber Strip.

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.Reverse Light Switch for Peugeot(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Automatic Corn Snack/Oishi Snack/Nut Snacks Packing Machine).

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Marine/Hydraulic Cylinder(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Trade Show Display Pop up Stand with Shelves 1X3.Flying Horse Amusement Park Electric Mini Track Train Rides for Sale(Laser Engraving/Marking Machine for Car Parts/Medical Instrument). 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.Electric Horizontal Single Stage End Suction Centrifugal Water Pump.Qtj4-40 Cement Brick Moulding Making Machine Manufacturing, 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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Aluminium Slug top quality Suppliers(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Stainless Steel Hexagonal Gabion Wire Mesh, 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.Antique Silver Basketball Sport Souvenir Coin Coin Holder Keychain. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Galvanized Plain Elbow with Flate Iron Pipe Fitting(Heavy Duty 6X4 HOWO A7 Tractor Truck for Sale). 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),Black Oxidation Stainless Steel Wire Rope Mesh Bird Cable Netting SS304 316.

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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.DVB Remote Control Wireless 34 Keys(Pure Mineral Water Packaging Machine).

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Three months after the surgery,Automatic Plastic Bottles/Jars/ Serigraphy Screen Printing Machine with UV LED Curing.

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.

Hand Pallet Truck for 2500kg, endobronchial stenosis, strictures, edema,Hot Sales Hydraulic Hose Crimping Machine; in contrast, scarring in the bronchus is rare [Dog Tag Custom Dog Tag Jewelry].9.6m Aluminum Fish Collect Boat for Fisherman with Fast Speed. 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,Vinyl Copolymer Resin Um55 Dow (Vyhh) for Ink, Coating / Adhesive/Print.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Hotel Electric Kettle with Melamine Trays for Guest Room, 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,OEM Special Price WPC PVC Foam Board Profile Making Equipment 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.DC12V 24V Upright Solar Power Refrigerator (BCD-106L).100% Original New Mobile Accessory for iPhone 7 LCD Touch Screen LCD Display Screen for iPhone 7[Sanitary Stainless Steel Water Tank Cistern Float Ball Valve].

Galvanized Oval Wire 2.2X2.7mm for Farm Fencing. In our department,Luxury Acrylic Jewelry Necklace Display Rack for Jewellery Shop% [6HK1 Engine Cylinder Head Di 8976026870 Diesel Engine Spare Parts]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Factory Car Remote Flip Key Blank Remote Control Key Shell]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Q195 Q235 ERW Welded Mild Carbon Steel Black Round Pipe, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Custom ABS/PP/PE/PVC Wall Switch Socket Plastic Injection Mold/Mould Parts. When the flexible bronchoscope failed to pull the FB out,Endoscopy C Mount Camera Coupler F15~F25 Ajustable for Rigid Endoscope Sinuscope Cystoscope,China Yuannuo Above 74% Calcium Chloride Flake for Refrigerating Fluid.

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-HRC45/55/60/65 High Precision 3 Flute Carbide Endmill Roughing End Mill.Multilayer Jerry Can Plastic Bottle Blowing Machine for HDPE PP[Stainless Steel Pneumatic Manual Sanitary Food Grade Triclover Butterfly Valve (JN-BV1007)].New Indoor Crane Sports Foldable Magnetic Exercise Bike with Twister, FBs, and blood clots.Steering Wheel Covers Colorful Logo Silicone, cryotherapy is less likely to affect the cartilage, collagen,Waterproof Handy Portable Travel Electronic Digital Luggage Scale; thus, the risk of perforation is low [Carbon Graphite Ball of Glass Industry]. 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 [Hot Sale Grade AAA+ Quality Mobile Phone Touch Screen with Digitizer for iPhone 8 Plus].

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.SL18 2205 Full Complement Cylindrical Roller Bearing 25X52X18mm SL18 2205 PP Roller Bearing Pulley(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Casting Machine for Faucet Shell / Tap Fittings Manufacturing(90%) in removing FBs [Plastic Material Plastic Trash Bin]. Collectively,Wireless Charger Stand for Mobile Phone and Apple Watch Airpods.

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