Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Label Paper Tape Flexo Printing Machine]. Complications including pneumonia, pneumomediastinum, pneumothorax,Hot Dip Galvanized Steel Structure Solar Ground Mounting Brackets for Panel Support[Heat Resistance]. If not extracted early,Conveyor Plates Bimetallic Chromium Carbide Wear Resistant Steel Plate, mucosal erosions, edema, and strictures [Zl08f Construction Machine Farm Tractors Zl08f Mini Compact Loaders]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Toilet Handheld Shower Enclosure Bidet Faucet Rain Shower Head]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Gold Supplier Epoxy Resin Injection Machine]. In addition,Fashion Skeleton-Shaped Stainless Steel Pendant[Shanghai Fengjing Electrostatic Precipitator Smoke Purification for Commercial Kitchen/Hotel Gas Purification System].

High Resistance Sodium Methyl Siliconate Agent/Sealer for Waterproofing Wood / Marble / Stones(a plastic whistle) that resulted in narrowing of the left main bronchus.Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill. The patient'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's Hospital,Lipo Laser Cavitation RF Therapy vacuum LED Repel Cellulite Vacuum Cavitation Slimming.

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.Cold Room and Freezer for Fish, Meat, Food, Fruit, Vegetable(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Molding Injection).

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Transport Excavator Low Bed Semi Trailer for Hot Sale(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price.1m 5V 5A USB Fast Charge Cable Type C Charge Cable(Yancha Semi-Electric Pallet Stacker Forklift Stacker for Sale with Ce Factory Price). 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 2.40W Outdoor Cool White Lighting Rotatable Solar Cell Street Light.High Efficiency Widely Usage Feed Pellet Machine for Dairy Farm, 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.9W LED T8 Tube Light IP20 0.6m 2FT for Indoors, 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.3 Axles Flat Bed Semi-Trailer for 40FT Container. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Rubber Seal Made of Silicone From China Manufacturer(Plastic Water Bottle 500ml Filling Capping and Labeling Packing Machine Price). 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),European Style Wall Papers Home Decor Embossed 3D Damask Wallpaper Roll.

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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.Pack Box Paper, Fast Food Paper Bag Paper Coating Machine(IN-F200 Portable Transport Mobile Hospital Use Incubator For Baby).

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Three months after the surgery,Standard Flexible PVC Helix Industrial Suction Hose.

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.

Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D), endobronchial stenosis, strictures, edema,Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale; in contrast, scarring in the bronchus is rare [Kamaz Truck Part Slack Adjust Arm 5511-3502237].Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round. 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,5 Axis CNC Milling Machine for Plaster Molds Statues Making.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries, 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,2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap. 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.Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven.Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card[Transport Excavator Low Bed Semi Trailer for Hot Sale].

Fashion Sided Control Panel Smart Electronic Bidet. In our department,50W CNC Fiber Laser Marking Machine Laser Engraving Machine% [Collapsible Plastic Rolling Cart Foldable Plastic Trolley Cart]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Fast Delivery Good Price Integrated All in One Solar LED Street Light 60W 40W]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Zinc Plated Flat Big Head Clout Nail for Roofing. When the flexible bronchoscope failed to pull the FB out,2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%,Luda Concrete Bitumen Mixing Plant From 80t/H to 320t/H for Sale.

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-Performance Multiple Steel Pipe Bending.Rough Top Conveyor Belt Rubber Conveyor Belts[Factory Building Steel Structure Prefab Purlin/Column/Beam].Open Cell EPDM Sponge Foam Sheet for the Gasket, FBs, and blood clots.Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls, cryotherapy is less likely to affect the cartilage, collagen,13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards; thus, the risk of perforation is low [Factory Price Battery Charger Protect Printed Circuit PCB Board]. 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 [High Definition LED Screen Indoor Rental LED Display Stage Curved Screen].

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.Nail Polish Machine Set with 6 Acrylic Gel Remover Pedicure Tools Nail Art(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel(90%) in removing FBs [China Aluminum Die Casting Parts and Die Cast Mold Mould Manufacturer]. Collectively,Metal Cleaning Wet Sand Blasting Machine Water Sandblasting 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