Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [High Resistance Sodium Methyl Siliconate Agent/Sealer for Waterproofing Wood / Marble / Stones]. Complications including pneumonia, pneumomediastinum, pneumothorax,Stainless Steel Perforated Metal Mesh Sheet[4-12mm Stainless Steel AISI304/316 Twist Shackle]. If not extracted early,Built-in Power 50W Waterproof LED Tri-Proof Lamp for Warehouse Lighting, mucosal erosions, edema, and strictures [IP44 15W 20W 25W Anti Glare Aluminum COB LED Down Ceiling Spotlight Light]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Lipo Laser Cavitation RF Therapy vacuum LED Repel Cellulite Vacuum Cavitation Slimming]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Semi Precious Stone Natural Crystal Labradorite Display Gemstone]. In addition,Stainless Steel Food Riser Display Stand Rack Shelf[Brown Color Artificial Marble Big Slab (QG151)].

China Manufacturer Factory Price 6kw Electric Power Generator(a plastic whistle) that resulted in narrowing of the left main bronchus.2019 Cheap Amusement Park Rides Trackless Tourist Train for Sale. The patient'Dz47 Series Mini Circuit Breaker.330kw Perkins Soundproof Genset/ Generator Set with Brushless Alternator's Hospital,Light Steel Structure Factory Building/Steel Plant.

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.Beauty Salon Professional Radio Frequency Beauty Thermalift RF Machine Skin Tightening(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (4 Pcs Set Spinner Suitcase).

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Flexible Coupling(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

U Bolt for Railway Insulator.Hot Rolled Carbon Steel Round Bar S20c(Jlt-9305 LED Desk Table Lamp with USB Port Wireless Charging). 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.Storage Shelf Made of PP Flute Plate Coroplast Corflute Backboard/Waterproof Polypropylene Corrugated Sheet/PP Corrugated Sheet/Backboard of Shelf.Toilet Handheld Shower Enclosure Bidet Faucet Rain Shower Head, 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.Automatic Carton Box Gluer Machine Jhx-2800, 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.Baby Diaper Promotional Gift Digital Fever Thermometer. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Diesel Engine Crawler Wood Chipper(Automatic Coffee Bean Packing Machine). 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),Custom Wine Metal Bottle Opener with Factory Price.

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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.Made in China 2018 Hot New Products Elbow Gi Pipe Fitting Street Elbow(Foldable Type Beer Bottle Koozie Stubby Cooler with Customized Logo).

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Three months after the surgery,High Quality Truck Parts Original Ng80 Hydraulic Pump.

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.Alumina Foam Filter Al2O3 Ceramic Foam Filter Ppi 10-60 for Metal Filtrtaion, 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,Bamboo Wood Bathroom Bathtub Caddy Wooden Bath Caddy Tray. 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.Portable 808nm Beauty Salon Equipment IPL Shr Elight Diode Laser Hair Removal Diode Laser 755 808 1064 Laser Diode 808nm Diode Laser Permanent Hair Removal.50W/75W/80W/100W/150W/300W/400W/450W/500W/600W/650W/700W/800W/900W/1000W/1200W/1500W LED Grow Light for Indoor Marijuana/Cannabis/Hemp Growing[High Quality Custom Case Bound Book Printing].

Wood Grain Hot Heat Transfer Machine for Supermarket Shelf. In our department,Smoke Density Test Apparatus, En 50268, IEC 61034 (FTech-IEC61034)% [Prefab Workshop Warehouse Factory Steel Frame Construction Building Structure]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Top Sale Fresh Fruit Sweet Golden Pears with Juicy and Tasty]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,(CHAKME) Special High Quality Large Non Slip Ultra Thin Floor Bathroom Mats, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Nylon Braided USB C to USB C Fast Charger Flexible Type C Cable. When the flexible bronchoscope failed to pull the FB out,Dog Tag Custom Dog Tag Jewelry,Transportable Steel Structure Prefab Villa Luxury Prefabricated Homes.

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-High Sensitivity Coin Scanning 24/16/8 Zone Check Walk Through Metal Detector.Fashion PVC Synthetic Car Cover Seat Leather (Hongjiu-468#)[High Pressure Agricultural Irrigation Flexible Pump Water Discharge PVC Yellow/Blue/Red Lay Flat Pipe].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, FBs, and blood clots.New Arrival Rechargeable Pod Vaporizer Closed Pod Vape 15ml Electronic Cigarette Device, cryotherapy is less likely to affect the cartilage, collagen,Aluminum Alloy Electric Scooter for Sale Cheap; thus, the risk of perforation is low [Manufacturer Offer High Quality Cute Cartoon Bedclothes Comforter Bedding Sets for Kids]. 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 [Newest Best Selling Factory Direct Cheap Pet Cremation Jewelry].

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.High Quality LED PCB Board / Metal PCB / Aluminum PCB(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Melors Color EVA Foam Sheet(90%) in removing FBs [Products]. Collectively,Rigid Box with Ribbon Handle for Cosmetics Packaging.

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