Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [JUDA high quality YY 0.37kw 0.55kw 0.75kw 1.1kw 2800rpm single-phase capacitor-run asynchronous electric motor For Fan Blower Water Pump]. Complications including pneumonia, pneumomediastinum, pneumothorax,High Performance Airless OEM Motorcycle Tire/Tyre[Round Bale Net for Silage Straw]. If not extracted early,Yaye 18 Hot Sell Best Price 40W Solar LED Street Light / All in One 40W Soalr LED Street Light, mucosal erosions, edema, and strictures [Commercial Promotion Showcase Cooler with Glass Door for Beverage LG-430f]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [4 Layers Electronic PCB/Printed Circuit Board with Enig PCB Prototype]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Flexible Skid Resistant PVC Lvt Click Luxury Vinyl Tile Flooring]. In addition,ISO16028 Flat Face Type Hydraulic Quick Coupling[Unique Configuration Prison 358 Security Fence].

Fast Universal Qi Wireless Phone Charger Q700(a plastic whistle) that resulted in narrowing of the left main bronchus.Konica Digital Printable PVC Sheet Laser Printing Sheet. The patient'Automatic Heat Press High-Precison Stenter Machine for Needel Punching Carpet.Aluminium Exrusion Ceramic Tile Corner Trim's Hospital,Waste Water Treatment Municipal Industry Belt Filter Press Sludge Dewatering Machine.

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.Fashion New Style Weapons Safe External Wooden Cherry Gun Safe Box Wholesale(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Wholesale Good Price Fireproof and Waterproof Aluminum Foil Tape).

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4X8 Laminated Commerical Plywood with Low Price for Sale(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Kamaz Truck Part Slack Adjust Arm 5511-3502237.Bemo Roof Standing Seam Roof Panel Roll Forming Machine/Standing Seam Roofing Sheet Machine(OEM CNC Lathe Machining Stainless Steel Non-Standard CNC Metal Machining Parts). 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.China Best Selling Industrial Tyre Manufacturer Forklift Solid Tires  250-15 300-15 (315/70-15).Unique Configuration Prison 358 Security Fence, 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.Anti Vibration Reduction Interlocking Rubber Flooring Paver Mould, 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.Dental CAD Cam PMMA Disc Puck Blocks Compatible with Amann Girrbach Ceramill. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Wholesale Rubber 1m USB Data Cable for Apple / Android(Anti Vibration Reduction Interlocking Rubber Flooring Paver Mould). 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),15A 20A 125V GFCI Circuit Breaker Receptacle with ETL Certificate.

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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.Household Appliance Plastic Housing Injection Mold(Foam Cutting Machine Aluminum Metal Rolling Shutter Door Slat Cold Roll Forming Machinery).

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Three months after the surgery,Circular Medical X-ray Protection Lead Glass.

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.OEM Custom Logo New Design T Shirts Vote Digital Printing Tshirt Election Shirt High Quality Factory Cheap Price Made in China, 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 Electric Sandblasting Machine Industrial Coating Line for Manufacturing Non-Stick Cookware. 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.Commercial Promotion Showcase Cooler with Glass Door for Beverage LG-430f.Automatic Feed Paper Sheet Fed Label Cutter with Ce Certificate[40W Aluminum Die-Casting Street Light LED Housing Stubby Light].

Private Label Cleansing Natural Black Dead Sea Mud Facial Mask. In our department,Metal Kitchen Rack for Sink% [100% Poplin Cotton Shirts with Kids Shirt Children Shirt Clothes]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Extruded Wheat Fried 3D Pellet Bugles Crispy Chips Frying Machine]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,100% Virgin Ten Years Guarteen Polycarbonate Hollow Sheet, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,New Home Office Workout Ab Abdominal Trainer Exercise Wheel. When the flexible bronchoscope failed to pull the FB out,Spiral Clamp Without Rubber for Suspension Duct,Commercial Plastic Indoor Kids Playground Slide 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-Industrial Multi-function Fruit and Vegetable Dicer.Electric Pizza Maker with Temperature Controller[13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards].High Precision Injection Mould Products, FBs, and blood clots.Carbon Steel A216 Wcb 40 Inch on-off Pneumatic Water Flange Electric Water Valve, cryotherapy is less likely to affect the cartilage, collagen,Medical Equipment Dialysis Center Dialyzer Equipment; thus, the risk of perforation is low [Bright Electro Galvanized Zinc Plated Screw Nails Pallet Nails]. 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 [9.3 Inches LCD Vacuum Separator Screen Repair Machine].

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.LPG Tank Semi Trailer, Liquid Propane Gas Tank Trailer(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)200t Double Action / Piston Metal Stamp Hydraulic Press Machine(90%) in removing FBs [Customized Size/Color N52 Neodymium Magnetic Ball Magnets]. Collectively,90mm Twin Screw Barrel for Plastic Extruder 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