Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Water Filter Bottle Joyshaker RO Water Filter Parts Water Filter Machine Price]. Complications including pneumonia, pneumomediastinum, pneumothorax,Industry High Bay Light Warehouse Supermarket Plant Usage LED Lamp 180lum/W[5 Gallon Pet Bottle Blow Molding Machine Manufacturers Cheap Price]. If not extracted early,Fingerprint Industrial PDA Barcode Scanner Android with Built-in Printer (T980), mucosal erosions, edema, and strictures [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]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Industrial Grade COB LED Jumbo Pen Light with Pocket Clip]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [China Jinan Hot Sale Woodworking Wood CNC Router Machine]. In addition,Round Hot Nozzle Heater[High Quality Watermark Kitchen Sink Flexible Faucet].

Mining Machine High Intensity Wet Vertical Ring Electro Magnetic Separator Manufacturer(a plastic whistle) that resulted in narrowing of the left main bronchus.NEMA C Phenolic Cotton Sheet with High Mechanical Strength. The patient'Low Investment Food Dryer Equipment.Fcb+EPS+Fcb Sandwich Panel for Movable House's Hospital,Aluminum Alloy Electric Scooter for Sale Cheap.

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.CNG Energy Saving Hot DIP Galvanizing Melting Zinc Pot with Galvanizing Furnace(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (m.fastlinepcb.com).

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Solid Wood Bathroom Furniture Vanity Cabinets Factory Directly, 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.High-Accuracy Rolling Shutter Door Salts Roll Forming Machine. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Ce EMC LVD RoHS Two Years Warranty, White LED Flexible Strip Light (SMD3528-60)(China Industrial Forging Furnace Manufacturer by Induction Heating Equipment). 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),Men Fashion Woven Check Scarf.

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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.Compressed Natural Gas Trailers CNG Tube Trailer for Sale(Powder Coating Raw Materials Industrial Chemicals HPMC).

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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.

Wholesale Magnetic Strip Plastic Card Customized PVC RFID Card Business Card, endobronchial stenosis, strictures, edema,Carbon Fiber Square Tube Q345b Square Hollow Sections Galvanized Tube; in contrast, scarring in the bronchus is rare [Fingerprint Industrial PDA Barcode Scanner Android with Built-in Printer (T980)].3.97′′ High Brightness TFT Display with 480 (RGB) *800 Resolution for Coffee Makers Control. 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,8L Custom Promotional PS Plastic Ice Bucket for Wholesale.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.PVC Pipes Manufacturing Machinery with Plastic Crushers, 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,2# 7′x32′ Liquid Nylon Monofilament / Multifilament Mesh Filter Bag. 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.Folding Non Slip Gymnastics Beam for Training, Practice, Physical Therapy and Home Use.Kexinda Gutter Roll Forming Machine[Wholesale Elastic Wide Heandbands Outdoor Sports Quick-Dry Cooling Headband].

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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-Kids School Bullet Proof Backpack Bulletproof Rucksack Tactical Backpack.1tons 2WD Site Dumper SD10[OEM Plastic Products for Vacuum Cleaner Sweeper Spare Parts Plastic Injection Moulding].Cold Rolled Steel Sheet with Al-Zn Coating Layer for Machinery, FBs, and blood clots.High Performance Airless OEM Motorcycle Tire/Tyre, cryotherapy is less likely to affect the cartilage, collagen,Yaye 18 Hot Sell Best Price 40W Solar LED Street Light / All in One 40W Soalr LED Street Light; thus, the risk of perforation is low [12mm 18mm Llyods Marine Grade Plywood]. 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 [P10 1r V706 Hub12 LED Display Module for Running Message].

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.ISO16028 Flat Face Type Hydraulic Quick Coupling(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Fast Universal Qi Wireless Phone Charger Q700(90%) in removing FBs [Cable Twisting Machine Manufacturers Cheap Price]. Collectively,Konica Digital Printable PVC Sheet Laser Printing Sheet.

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