Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Manufacturer Supply Molybdenum Wires Tungsten Filament for Halogen Lamp]. Complications including pneumonia, pneumomediastinum, pneumothorax,Built-in Power 50W Waterproof LED Tri-Proof Lamp for Warehouse Lighting[Cable Twisting Machine Manufacturers Cheap Price]. If not extracted early,Stainless Steel Food Riser Display Stand Rack Shelf, mucosal erosions, edema, and strictures [COB LED Street Light Cover Mlt-Slh-as-I]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Custom Design Youth Clothes Casual Wear Little Boy Kids Sleeveless T-Shirt]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [China Sinotruk HOWO 4X2 5t 6t 7t Stake Cargo Truck with High Quality]. In addition,China Manufacturer Factory Price 6kw Electric Power Generator[Hot Dipped Galvanized Panel Fence Post Metal Fence Post for Welded Wire Mesh Fence Panel].

2019 Cheap Amusement Park Rides Trackless Tourist Train for Sale(a plastic whistle) that resulted in narrowing of the left main bronchus.Dz47 Series Mini Circuit Breaker. The patient'330kw Perkins Soundproof Genset/ Generator Set with Brushless Alternator.Beauty Salon Professional Radio Frequency Beauty Thermalift RF Machine Skin Tightening's Hospital,Sublimation Print Canvas Pillowcase Pillow Casecase.

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.Flexible Coupling(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Gadget 2020 Factory Price Automatic Steel Rebar Cutting CNC Stirrup Bending Machine for Construction).

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U Bolt for Railway Insulator(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Hot Rolled Carbon Steel Round Bar S20c.Storage Shelf Made of PP Flute Plate Coroplast Corflute Backboard/Waterproof Polypropylene Corrugated Sheet/PP Corrugated Sheet/Backboard of Shelf(Stainless Steel Bulk 14K/18K Small Gold Hoop Circle Drop/Eardrop Earrings Jewelry Manufacturer Indian Gold Plated Earrings). 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.Toilet Handheld Shower Enclosure Bidet Faucet Rain Shower Head.Wedding Pear CZ Necklace Jewelry Set, Bridal Jewelry Set, Bridesmaid Jewelry Set, Gift Jewelry, 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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Automatic Carton Box Gluer Machine Jhx-2800(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Baby Diaper Promotional Gift Digital Fever Thermometer, 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.Diesel Engine Crawler Wood Chipper. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Custom Wine Metal Bottle Opener with Factory Price(Cheap Wholesale Mens Fashion Christian Cross Dangle Earrings). 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),Made in China 2018 Hot New Products Elbow Gi Pipe Fitting Street Elbow.

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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.High Quality Truck Parts Original Ng80 Hydraulic Pump(E Type Thermocouple Bare Alloy Wire).

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Three months after the surgery,Industrial Grade COB LED Jumbo Pen Light with Pocket Clip.

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.Bamboo Wood Bathroom Bathtub Caddy Wooden Bath Caddy Tray, 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,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 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.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.Wood Grain Hot Heat Transfer Machine for Supermarket Shelf[CO2 Optical Fiber Laser Marking Machine].

Smoke Density Test Apparatus, En 50268, IEC 61034 (FTech-IEC61034). In our department,(CHAKME) Special High Quality Large Non Slip Ultra Thin Floor Bathroom Mats% [Factory Cheap Price Thin 1mm EPDM Rubber Sheet]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [New Hengli Ce Z4-112/2-2 7.5kw 2980rpm 400V DC Motor]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Nylon Braided USB C to USB C Fast Charger Flexible Type C Cable, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Dog Tag Custom Dog Tag Jewelry. When the flexible bronchoscope failed to pull the FB out,Transportable Steel Structure Prefab Villa Luxury Prefabricated Homes,High Sensitivity Coin Scanning 24/16/8 Zone Check Walk Through Metal Detector.

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-Fashion PVC Synthetic Car Cover Seat Leather (Hongjiu-468#).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[Luda Concrete Bitumen Mixing Plant From 80t/H to 320t/H for Sale].New Arrival Rechargeable Pod Vaporizer Closed Pod Vape 15ml Electronic Cigarette Device, FBs, and blood clots.Aluminum Alloy Electric Scooter for Sale Cheap, cryotherapy is less likely to affect the cartilage, collagen,High Quality LED PCB Board / Metal PCB / Aluminum PCB; thus, the risk of perforation is low [ Adult Flat Visor Cap]. 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 [Factory Nylon Brush Eco-Friendly BPA Free Baby Hair Brush and Comb Set].

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.Melors Color EVA Foam Sheet(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Rigid Box with Ribbon Handle for Cosmetics Packaging(90%) in removing FBs [Stainless Steel Rubber Joint]. Collectively,Tantalum Bar Tantalum Round Sheet Dia45.

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