Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Mutil Story Prefabricated Steel Structure Hotel Building]. Complications including pneumonia, pneumomediastinum, pneumothorax,China Factory Movable Seeding Bed Plants/Flowers Nursery in Greenhouse[3000kg Load 12V Electric Scissor Lift Car Jack]. If not extracted early,Full Range Size Electric Brass Ball Valve Dn40 Normal Open, mucosal erosions, edema, and strictures [White Color Backing Adhesive Expanded PTFE Teflon Tape]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [E-Cigarette Smoking Battery Portable Vape Pen Pod Device Kit Vapor Vaporizer Kits]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Free Sample Felt Belt Suppliers Made in Xiamen]. In addition,Plastic Products Washing Machine Parts Plastic Mould[Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale].

Merry Christmas LED Lighting Christmas Ornament for Outdoor Decoration(a plastic whistle) that resulted in narrowing of the left main bronchus.Metal Breaker Fabric. The patient'Low-Cut Halter and Thin Back Straps Bridesmaid Dress.Solid Carbide Roughing End Mill Hot Seal Milling Cutter's Hospital,Organic Poultry Feed Additives 18% DCP Dicalcium Phosphate Grey.

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 Quality Honey Drum Heater with Self Temperature Control with One Year Warranty(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Microwave Sunflower Seeds and Peanut Roasting Machine Nuts Roaster Machine).

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NPK Hydraulic Breaker H20X Excavator Spare Parts Seal Kit for Rock Breaker(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

100%RPET 150d Oxford for Bad/Recycled Oxford for Eco-Friendly.Vibrating Screen in Corn Milling Machine / Automatic Sieving Machine(High Efficient Automatic Soldering Machine with Competitive Cost for Mobile Phone). 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.Professional Adjustable Microphone Stand, Mic Stand.Pipe Fitting, Tube Hydraulic Adapter, 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.Bath Thermometer with 24 Thermocouple Inputs (AT4524), 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 Polar 12A AC220V Coil Voltage Magnetic Contactor Price. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Tin Roof L Feet Bracket for Solar Panel Mount(Galvanized Plain Elbow with Flate Iron Pipe Fitting). 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),800*480 Resolution 8.0 TFT LCD Screen with Brightness 450 CD/M2.

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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.Magnetic Core Inspection Sorting Machine( Slotting and Die-Cutting Machine).

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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.

Sheet Metal Straightener Machine Using in Automobile Mould (MAC4-600), endobronchial stenosis, strictures, edema,BSCI Auited Facory Made Polyresin Birdhouse for Garden Decor; in contrast, scarring in the bronchus is rare [Free Sample Neoprene Swimming Pool Beach Aqua Shoes].Mobile Phone Tablet Universal TPU and Spring Steel Material Thumb Holder Ok Stand for Mobile Phone Tablet PC. 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,5dii Camera Mode 7 Inch LCD HDMI Monitor.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.4000L/H Factory Sale Water Filter Machine for Farm Irrigation System, 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,Men′s Three Piece Sport Suit Compression T Shirt Ruffle Tracksuit Stretch Shorts Quick Drying Leggings Training Clothes. 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.LED Warehouse Lighting Flood Light Panel 200watt.Free Sample Neoprene Swimming Pool Beach Aqua Shoes[High Torque Electrical DC Stepping Motor for Monitor/Oven/Printer].

New Soft Tube Filling and Sealing Machine. In our department,Price 3 Ton Diesel Forklift with Toyota Engine, Isuzu Engine 4.8 M Lift Height, 3 Stage Mast Side Shift% [1 Inch 304 Stainless Steel Pipe Price]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [2019 New Item 2600mAh RoHS Solar Charger Power Bank with Sucker]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Protection Control and Measure of 138kv Substation Including of Power Transformer -Over Head Line-Distribution Panel From Brand Siemens-Schneider-Chin, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Hot DIP Galvanized Steel Spring Wire. When the flexible bronchoscope failed to pull the FB out,Wholesale 57/60 21 * 21 Special Medical Fabric,WQM-320G Graphic Sticker Cutting Machine.

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-IP68 LED Colour Changing Waterproof Ball.Professional Chocolate Oat Production Line Moulding Model CNC Engraving Machine[Protection Control and Measure of 138kv Substation Including of Power Transformer -Over Head Line-Distribution Panel From Brand Siemens-Schneider-Chin].High Quality Custom Case Bound Book Printing, FBs, and blood clots.100% Virgin Waterproof Spc Rigid Core Vinyl Plank Wood Floor Tile, cryotherapy is less likely to affect the cartilage, collagen,Custom BOPP OPP Acrylic Adhesive Package Shipping Carton Sealing Tape with Logo Color Printed Packing Tape OEM MOQ China; thus, the risk of perforation is low [500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel]. 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 [Nitrogen Inflator Pressure Swing Adsorption Generator of High Purity Big Capacity].

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.Ss420 Stainless Steel Tube Smls ASTM A268(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Molded PVC Rubber Tube End Cap for Lab Apparatus(90%) in removing FBs [Aluminum Anodized Wheel Spacer]. Collectively,Torx Head T30/25 Yellow Zinc Concrete Screw.

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