Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Kids School Bullet Proof Backpack Bulletproof Rucksack Tactical Backpack]. Complications including pneumonia, pneumomediastinum, pneumothorax,1080P HD Home Security Interphone Video Door Phone Intercom[Contemporary Carpet]. If not extracted early,Hot Sale Refrigeration Unit Condensing Unit Compressor, mucosal erosions, edema, and strictures [Stretch Film Type for Food Wrapping PE Cling Film]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Full Printing Custom Polyester Discount Multiple Colours Basketball Jerseys Shirts]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Desktop LCD Mount with 3-Monitor 10-32 (LCD 0003)]. In addition,Auto Parts Diesel Engine Cat Caterpillar 3306 Cylinder Head 8n6796[Multifunctional Camp Hike Survival Mini Folding Shovel Spade Carry Easily].

Beer Beverage Sports Game Promotional Gift Cotton Logo Sweat Band(a plastic whistle) that resulted in narrowing of the left main bronchus.China Jinan Hot Sale Woodworking Wood CNC Router Machine. The patient'Wire Mesh Conveyor Belt for Food Freezering Processing.Cat5e UTP Communication Network Cable Xzrc026/8 Pair UTP Cat5e Cable/UTP Cable5e LAN Cable's Hospital,High Precision CNC Machining Anodizing Aluminum Parts.

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.Guangzhou Supplier Fashion Design Cro Pattern Leather Wallets for Men Card Leather Wallet Luxury Money Clip Wholesale(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Wholesale Top Quality Reusable Custom Logo Printing Kraft Paper).

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Fashion Genuine Leather Bag Handbag for Ladies.Customized High Quality Gift Promotion Cufflinks Metal Pen(Colorful Glaze Ceramic Cup Custom Design Logo and Color). 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.Ex-Factory Price 10mm Garden Landscape Artificial Grass and Turf.Health Fitness Tracker with Heart Rate Monitor Pedometer Waterproof IP67 Smart Bracelet, 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.Highly Waterproof LED Blinder Audience COB Light with Best Price of 400W Lamp, 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.China MIG Welding Consumable Manufacturer CO2 Gas Shielded Welding Wire Er70s-6. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Fiber Optic LC 2.0mm Sx Connector(Hot Sales Hydraulic Hose Crimping 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),PVC Steel Wire Reinforced Hose for Water Oil Powder Draining Water Delivery.

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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.Sanitary Stainless Steel Tank Rotatory Spray Cleaning Ball(Safety Lockout ABS Big Large Circuit Breaker Lock).

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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.

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Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.2018 304 316 316L Seamless Stainless Steel Pipe, 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,Phthalate-Free PVC Coated Industrial Chemical Resistant Safety Work Gloves. 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.Sumitomo G Awm 2896 80c VW 1 LCD Display FFC Flat 30 Pin Ribbon Cable.15kw Industrial Stationary Electric Screw Air Compressor with Air Dryer[New Arrival Rechargeable Pod Vaporizer Closed Pod Vape 15ml Electronic Cigarette Device].

Automatic Milk Fruit Juice Tomato Sauce Gear Pump Filler (GPF-400A). In our department,Tcn Smart Intelligent Automatic Snack Drink Combo Vending Machine Manufacturer% [Promotional Printing Colorful Lady Silk Scarf (HY18111210)]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Quick Money Making Optima Steamer Portable Car Wash]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Custom Pharmacy Corrugated Paper Shelf Floor Counter Dispenser Lipgloss Cosmetics Display, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,2-in-1 Kitchen Clever Cutter Food Chopper Smart Cutter. When the flexible bronchoscope failed to pull the FB out,API 5L Gr. B 30 Inch ANSI B16.25 Saw/LSAW/SSAW Ends Bevelled Black Carbon Steel Pipe,Custom Adjustable Neoprene Open Patella Knee Brace Compression Fitness Support Patella Knee Strap for Knee Pain.

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-Interior Decorative Wall Covering Panels Laser Cut Metal Screens.Premium Quality Boar Bristle Hair Brush for Women and Men,Designed for Thin & Normal Hair - Adds Shine and Improves Hair Texture,Oval Paddle Cushion Hair Brush[Jp Papermaking Dryer Cylinder Balancing Machine].One Piece Colostomy Ileostomy Punch for Pediatrics, FBs, and blood clots.Aluminium Cold Forging Casting and Forging Roll Forging, cryotherapy is less likely to affect the cartilage, collagen,Street Charge Station Vertical Screen Landing Double Screen Gate Outdoor Advertising Machine 37 Inch Display in Retail Stores Media Wall Mount Advertising; thus, the risk of perforation is low [Water Filter Bottle Joyshaker RO Water Filter Parts Water Filter Machine Price]. 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 [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].

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.Precision Sheet Metal Fabrication Metal Enclosure OEM ODM Service(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Promotional Gift Solar Rechargeable LED Camping Lantern Light(90%) in removing FBs [Qyf Series Energy Saving Pneumatic Desilting Sewage Pump]. Collectively,Double Eccentric Semi Ball Valve for Soda Ash Carbonation Tower.

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