Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Motorized Ball Valve 2 Way Full Bore Brass Ball Valve]. Complications including pneumonia, pneumomediastinum, pneumothorax,Beer Beverage Sports Game Promotional Gift Cotton Logo Sweat Band[1500ml Double Wall Glass Pot for Lemon Juice]. If not extracted early,China Jinan Hot Sale Woodworking Wood CNC Router Machine, mucosal erosions, edema, and strictures [Yaye 18 Hot Sell Best Price 40W Solar LED Street Light / All in One 40W Soalr LED Street Light]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Fully Automatical Stacked Screw Sludge Dewatering Equipment for Wastewater Treatment]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Mutil Story Prefabricated Steel Structure Hotel Building]. In addition,Wire Mesh Conveyor Belt for Food Freezering Processing[White Color Backing Adhesive Expanded PTFE Teflon Tape].

Cat5e UTP Communication Network Cable Xzrc026/8 Pair UTP Cat5e Cable/UTP Cable5e LAN Cable(a plastic whistle) that resulted in narrowing of the left main bronchus.Guangzhou Supplier Fashion Design Cro Pattern Leather Wallets for Men Card Leather Wallet Luxury Money Clip Wholesale. The patient'OEM Supplier Precision Stainless Steel CNC Turning Parts.Fashion Genuine Leather Bag Handbag for Ladies's Hospital,Stainless Steel Bulk 14K/18K Small Gold Hoop Circle Drop/Eardrop Earrings Jewelry Manufacturer Indian Gold Plated Earrings.

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.Customized High Quality Gift Promotion Cufflinks Metal Pen(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Big Capacity Vertical Commercial Hard Ice Cream Machine with Ce).

E-Cigarette Smoking Battery Portable Vape Pen Pod Device Kit Vapor Vaporizer Kits

Ex-Factory Price 10mm Garden Landscape Artificial Grass and Turf(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Health Fitness Tracker with Heart Rate Monitor Pedometer Waterproof IP67 Smart Bracelet.Grib Type Industrial Wafer Butterfly Valve(Free Sample Felt Belt Suppliers Made in Xiamen). 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.Highly Waterproof LED Blinder Audience COB Light with Best Price of 400W Lamp.China MIG Welding Consumable Manufacturer CO2 Gas Shielded Welding Wire Er70s-6, 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.

Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale

Fiber Optic LC 2.0mm Sx Connector(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.PVC Steel Wire Reinforced Hose for Water Oil Powder Draining Water Delivery, 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.Sanitary Stainless Steel Tank Rotatory Spray Cleaning Ball. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,GB Standard New Style Modular Steel Workshop Frame(OEM Aluminum Die Casting Metal Machinery Parts Motor House Manufacturing). 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),Stainless Steel Kitchen Storage Holders Racks Pantry Cookware Spice Shelf Rack Wall Hanging Kitchen Organizer.

m.paperspiritz.com

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.5000kg 5tons Steam Boiler for Food Industry Factory(High Efficient Automatic Soldering Machine with Competitive Cost for Mobile Phone).

Kitsen Aluminium Formwork Panels for Concrete Casting Building

Three months after the surgery,Cal-a 70mm2 Al Cu Welding Bimetal Cable Lugs.

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.

Dongyue Light Weight Block Machine Manufacturer and Sand AAC Block Making Machine, endobronchial stenosis, strictures, edema,2018 304 316 316L Seamless Stainless Steel Pipe; in contrast, scarring in the bronchus is rare [Galvanized Plain Elbow with Flate Iron Pipe Fitting].Phthalate-Free PVC Coated Industrial Chemical Resistant Safety Work Gloves. 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,Sumitomo G Awm 2896 80c VW 1 LCD Display FFC Flat 30 Pin Ribbon Cable.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.15kw Industrial Stationary Electric Screw Air Compressor with Air Dryer, 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,Automatic Milk Fruit Juice Tomato Sauce Gear Pump Filler (GPF-400A). 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.Tcn Smart Intelligent Automatic Snack Drink Combo Vending Machine Manufacturer.Custom Pharmacy Corrugated Paper Shelf Floor Counter Dispenser Lipgloss Cosmetics Display[ Slotting and Die-Cutting Machine].

2-in-1 Kitchen Clever Cutter Food Chopper Smart Cutter. In our department,API 5L Gr. B 30 Inch ANSI B16.25 Saw/LSAW/SSAW Ends Bevelled Black Carbon Steel Pipe% [Plastics Packaging Pouch Bag by Laminating Film]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Wide-Caliber]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Custom Adjustable Neoprene Open Patella Knee Brace Compression Fitness Support Patella Knee Strap for Knee Pain, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Interior Decorative Wall Covering Panels Laser Cut Metal Screens. When the flexible bronchoscope failed to pull the FB out,Premium Quality Boar Bristle Hair Brush for Women and Men,Designed for Thin & Normal Hair - Adds Shine and Improves Hair Texture,Oval Paddle Cushion Hair Brush,One Piece Colostomy Ileostomy Punch for Pediatrics.

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-Aluminium Cold Forging Casting and Forging Roll Forging.Street Charge Station Vertical Screen Landing Double Screen Gate Outdoor Advertising Machine 37 Inch Display in Retail Stores Media Wall Mount Advertising[Free Sample Neoprene Swimming Pool Beach Aqua Shoes].Precision Sheet Metal Fabrication Metal Enclosure OEM ODM Service, FBs, and blood clots.Promotional Gift Solar Rechargeable LED Camping Lantern Light, cryotherapy is less likely to affect the cartilage, collagen,Double Eccentric Semi Ball Valve for Soda Ash Carbonation Tower; thus, the risk of perforation is low [High Torque Electrical DC Stepping Motor for Monitor/Oven/Printer]. 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 [2019 New Item 2600mAh RoHS Solar Charger Power Bank with Sucker].

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.Semi Automatic Pneumatic Beer Bottle Capping Machine, Beer Bottle Capper(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Sheep Abattoir Plant Carcass Cleaning Machine for Slaughtering Equipment(90%) in removing FBs [Automatic Flat Die Cutting Machine Creasing Machine]. Collectively,China Customized High Strength Outdoor Tent Pole Service.

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