Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Sanitary Stainless Steel Water Tank Cistern Float Ball Valve]. Complications including pneumonia, pneumomediastinum, pneumothorax,Motion Control Stepper Motor with Easy Driver[Autoclaved Aerated Concrete Block]. If not extracted early,Hot Sale Soft NBR Exercise Yoga Mat with Carrying Bag and Strap, mucosal erosions, edema, and strictures [Factory Car Remote Flip Key Blank Remote Control Key Shell]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Stainless Steel Pneumatic Manual Sanitary Food Grade Triclover Butterfly Valve (JN-BV1007)]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Carbon Graphite Ball of Glass Industry]. In addition,Ultrasonic Scent Humidifier Aroma Essential Oil Air Diffuser Machine Home Appliance300ml[Hot Sale Grade AAA+ Quality Mobile Phone Touch Screen with Digitizer for iPhone 8 Plus].

Hot Sale Intelligent Computer Operation Drilling Machinery for Furniture Manufacture/ Four-Lining Multi Axle Directional Wood Boring and Drilling Machine/(a plastic whistle) that resulted in narrowing of the left main bronchus.Supplying Turn Key Service for Profile Steel Rolling Mill Production Line. The patient'Food Grade Preservative High Quality Sodium Benzoate From Factory.Q195 Q235 89mm Diameter 5 Inch Gi Pipe Mild Steel Round Round Hollow Iron Pipe Price Round Zinc Coating Galvanized Steel Pipe's Hospital,Custom BOPP OPP Acrylic Adhesive Package Shipping Carton Sealing Tape with Logo Color Printed Packing Tape OEM MOQ China.

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.Yancha Semi-Electric Pallet Stacker Forklift Stacker for Sale with Ce Factory Price(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (CNC Precision Processing Zro2 Zirconia Ceramics).

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Punching Machine Parts Metal Fabrication Stamping Parts(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Small Gadget LED Torch Light Cute Mobile Power Bank.Sc/Upc Simplex Metal Fiber Optic Adapter(Guangzhou Supplier Fashion Design Cro Pattern Leather Wallets for Men Card Leather Wallet Luxury Money Clip Wholesale). 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.Cotton Tapes Silk Screen Printing Machine.Carbon Steel A234wpb/Wp11 Seamless Steel Fitting Sch40 Plate Weld Flange, 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.X6226 Best-Selling Universal Rotary Head Milling Machine, 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 Quality Coarse Limestone Grinding Machine Price. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,USB Type C Hub to USB 3.0 Multi-Port Adapter for MacBook or Chromebook and More(Kitchen Tool Silicone Bread Kneading Bag). 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),Sj Plastic Water Supply HDPE Pipe Extrusion Production Line.

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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.Indian Style Fabrics for Shoes Bags (HH3)(PET film Reinforcement Aluminum Foil for Self-adhesive Waterproof Membrane).

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Three months after the surgery,Manufactory Mix-Teeth Plastic Zipper for Clothes.

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.

Dumpling Samosa Spring Roll Maker Making Machine, endobronchial stenosis, strictures, edema,Outdoor Playground Rubber Tile Flooring Durable and Strong; in contrast, scarring in the bronchus is rare [Powder Coat Systems with Powder Curing Oven].Auto Parts Brake Pads for Ford Ranger 2017 Eb3c-2m007-AA. 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,Plastic Pipe PPR Pipe for Cold Water.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.OEM Aluminum Die Casting Metal Machinery Parts Motor House Manufacturing, 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,Electric Industrial Heater Furnace with Industrial Chiller for Rod Heat Treatment. 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.Pillow Block Bearing Housings Beairng Units Split Plummer Block Housings UCP 208.Kitchen Waterproof PVC Laminate Tile Flooring[Wholesale Rotary DOT Peen Marking Machine (Agent Partner Wanted)].

3ml. 6ml. 12ml Crystal Europe Perfume Bottle for Body. In our department,Mini Metal Peeling Lathe Covering Small Diameter% [Blue Stone Supplier]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Plastic Electronic Parts Mold/ Injection Mould/Molding/Plastic Base Blender Molding/CNC Prototype/Rapid Prototyping]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Cookies Bread Cake Packing Machine, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Professional Manufacturer Supply 188kVA Diesel Generator Set. When the flexible bronchoscope failed to pull the FB out,High Quality Diamond Segment Cutting Segment for Marble Block Cutting,Food Additive Tartaric Acid Dl-Tartaric Acid.

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-Custom Magnetic Strip 125kHz 13.56MHz RFID Chip Card.Rubber Gasket Rubber Hose and Bellow[Wholesale Price Payslip computer form pin mailer printer roll carbonless paper NCR ATM].10 Sicoma Manual Butterfly Valve, FBs, and blood clots.Computer Display Tensile Testing Machine (WEW-600B), cryotherapy is less likely to affect the cartilage, collagen,Garden Landscaping Artificial Lawn Carpet Grass; thus, the risk of perforation is low [High Quality High Security 3D Folded PVC Coated Welded Wire Mesh Panel]. 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 [Washami Fresh Scent Men′s Deodorant Stick 40g].

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.400V 50Hz Contra-Rotating Axial Fan(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Control Valve Pneumatic Actuator Limit Swith Box(90%) in removing FBs [Automatic Weighing Packing Machine]. Collectively,2016 Best Lighting Beam Sale RGB Mini Stage Laser Light.

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