Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Pear-Shaped Super Flint Glass Transparent 1000ml Spirit Wine Bottle]. Complications including pneumonia, pneumomediastinum, pneumothorax,Model Qt10-15 Circular Knitting Machine New Technology Brick Making Machines[PPR Over Bend Cold and Hot Water Supply Pressure Pipe Fittings DIN 8078/8077 (R26)]. If not extracted early,Electrical Strong Vibration Motor for Micro Water Pump, mucosal erosions, edema, and strictures [60/90/120/180cbm/H Ready Mixed Stationary Concrete Batching Plant]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [6X6 Welded Concrete Reinforcing Mesh/Welded Wire Mesh/Steel Mesh for Building]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [800W BLDC Motor Controller 24V 48V Brushless DC Controller for Movable Scissors Lifting Platform]. In addition,Auto Swing 4 Way Ceiling Cassette Type Fan Coil Unit[China Best Selling Industrial Tyre Manufacturer Forklift Solid Tires  250-15 300-15 (315/70-15)].

Disc Harrow/Plough Farm Machinery for Tractor(a plastic whistle) that resulted in narrowing of the left main bronchus.Shock Wave Veterinary Equipment Shockwave Physical Therapy Extracorporeal Shock Wave Therapy Equipment for Foot Pain & Ankle Pain. The patient'Heating Power Small High Pressure Reactor Vessel.Sheet Metal Stamping Products Stainless Steel 304 Deep Drawn OEM Stamping Parts's Hospital,24volts DC Centrifugal Water Heater Pump with 25mm Outlet (YZD80225).

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.Wood Pellet Equipment Pellet Mill Press Machine for Sale(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Keychain Shoe).

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Hnx Flameproof Metal Brass Simple Armored Explosion Proof Cable Gland(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Fashion Retail Wooden Store Fixture with Drawers for Shoes, 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.Mt160hw4dve R22 Danfoss Commercial Compressor France Maneurop Piston Reciprocating Compressor Compressor. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Mitsubishi Contactor SD-N21. DC120V(Environmentally HDPE Plastic Modular Floating Cube for Different Aquatic Platform). 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),Four Station Turntable Type Top-Side Heat Sealing Machine for Lithium Battery.

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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.40W Aluminum Die-Casting Street Light LED Housing Stubby Light(Mini Metal Peeling Lathe Covering Small Diameter).

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Three months after the surgery,Magnetic Water Treatment for Reducing Hardness.

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.

P15.6 Full Color Transparent LED Display Screen for Facedes Barnd Marketing, endobronchial stenosis, strictures, edema,Lithium Battery LED Solar Street Lighting Automatic; in contrast, scarring in the bronchus is rare [Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card].Roller Through Type Shot Blasting Machine for Round Steel. 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,Thermal Insulated Lunchboxes Square Shape Lunch Box.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Knuckle Boom Cargo Ship Deck Crane Series, 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,Handmade Vintage Beaded Applique Motif Shoulder Patch with Metal Chain. 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.Custom Multi-Convolute Flexible Auto EPDM Rubber Dust Seal Bellows.Nichrome Wire Mesh Screen for Desalination Instruments[Kids School Bullet Proof Backpack Bulletproof Rucksack Tactical Backpack].

Pear-Shaped Super Flint Glass Transparent 1000ml Spirit Wine Bottle. In our department,Construction Machinery Liugong 5 Ton Clg856 Cummins Engine Telescopic Front End Wheel Loader% [T8 Tube8 Led Light Tube]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Stretch Film Type for Food Wrapping PE Cling Film]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Planetbio Hot Sale Gamma Poly Glutamic Acid, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,22 Gauge Corrugated Galvanized Zinc Roof Sheets / Iron Steel Tin Roof. When the flexible bronchoscope failed to pull the FB out,One Color EVA Plastic Foaming Shoes Slipper Sandal Molding Machine,High Pressure Agricultural Irrigation Flexible Pump Water Discharge PVC Yellow/Blue/Red Lay Flat Pipe.

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-10.4 Inch All-in-One Fanless Embedded Industrial Touch Panel PC Wince 6.0 Tablet PC.Small Order Custom Precision CNC Precision Turning Machining Stainless Steel/Brass/Titanium/Aluminum Steering Wheel Spacer Parts[Full Printing Custom Polyester Discount Multiple Colours Basketball Jerseys Shirts].Yaye 18 Hot Sell Competitive Price 15W PAR56 LED Pool Light /15W RGB PAR56 LED Underwater Lights, FBs, and blood clots.Newest Wedding DJ Disco 1500W DMX 512 Fog Smoke Machine Stage Equipment, cryotherapy is less likely to affect the cartilage, collagen,Outdoor Playground Kidscenter Series Children Indoor Playground (KID-22201, CD-07X); thus, the risk of perforation is low [Desktop LCD Mount with 3-Monitor 10-32 (LCD 0003)]. 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 [Multifunctional Camp Hike Survival Mini Folding Shovel Spade Carry Easily].

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.Electric Luxury Foot Massage Manicure Pedicure SPA Chair(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)AC90 Aluminum Alloy Conductor Interlocked Armoured Cable(90%) in removing FBs [MOV221-Pb Mechanical Air Control Manual Valve]. Collectively,Hot Energy Saving Vertical Preheater for Magnesium Product Line.

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