Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [API 5L Gr. B 30 Inch ANSI B16.25 Saw/LSAW/SSAW Ends Bevelled Black Carbon Steel Pipe]. Complications including pneumonia, pneumomediastinum, pneumothorax,Qtj4-40 Cement Brick Moulding Making Machine Manufacturing[Felt Derby Hat]. If not extracted early,Aluminium Slug top quality Suppliers, mucosal erosions, edema, and strictures [Accurate Room temperature Digital Calender Alarm Projector Clock]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Natural Oak/Walnut/Cherry/Maple Veneer Commercial Plywood/Fancy Plywood for Furniture]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven]. In addition,Stainless Steel Hexagonal Gabion Wire Mesh[5 Gallon Plastic Bottle Blow Molding Machine].

Antique Silver Basketball Sport Souvenir Coin Coin Holder Keychain(a plastic whistle) that resulted in narrowing of the left main bronchus.Galvanized Plain Elbow with Flate Iron Pipe Fitting. The patient'Black Oxidation Stainless Steel Wire Rope Mesh Bird Cable Netting SS304 316.DVB Remote Control Wireless 34 Keys's Hospital,Zl08f Construction Machine Farm Tractors Zl08f Mini Compact Loaders.

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.Automatic Plastic Bottles/Jars/ Serigraphy Screen Printing Machine with UV LED Curing(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Easy Installation Laminate Floor).

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Hand Pallet Truck for 2500kg(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Hot Sales Hydraulic Hose Crimping Machine.9.6m Aluminum Fish Collect Boat for Fisherman with Fast Speed(LED Garden Light 56W with Post Top Mounted). 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.Vinyl Copolymer Resin Um55 Dow (Vyhh) for Ink, Coating / Adhesive/Print.Hotel Electric Kettle with Melamine Trays for Guest Room, 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.DC12V 24V Upright Solar Power Refrigerator (BCD-106L), 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.100% Original New Mobile Accessory for iPhone 7 LCD Touch Screen LCD Display Screen for iPhone 7. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Galvanized Oval Wire 2.2X2.7mm for Farm Fencing(Singe Output S-60-12 5A 60W Regulated AC DC Switching Mode Power Supply). 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),Luxury Acrylic Jewelry Necklace Display Rack for Jewellery Shop.

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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.Q195 Q235 ERW Welded Mild Carbon Steel Black Round Pipe(8L Custom Promotional PS Plastic Ice Bucket for Wholesale).

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Three months after the surgery,Custom ABS/PP/PE/PVC Wall Switch Socket Plastic Injection Mold/Mould Parts.

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.

Endoscopy C Mount Camera Coupler F15~F25 Ajustable for Rigid Endoscope Sinuscope Cystoscope, endobronchial stenosis, strictures, edema,China Yuannuo Above 74% Calcium Chloride Flake for Refrigerating Fluid; in contrast, scarring in the bronchus is rare [Custom Ladies Perspex Pumps Sexy Women Party High Heels Shoes].HRC45/55/60/65 High Precision 3 Flute Carbide Endmill Roughing End Mill. 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,Multilayer Jerry Can Plastic Bottle Blowing Machine for HDPE PP.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.New Indoor Crane Sports Foldable Magnetic Exercise Bike with Twister, 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,Steering Wheel Covers Colorful Logo Silicone. 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.Waterproof Handy Portable Travel Electronic Digital Luggage Scale.SL18 2205 Full Complement Cylindrical Roller Bearing 25X52X18mm SL18 2205 PP Roller Bearing Pulley[Skin Rejuvenation Beauty Machine IPL for Salon Use].

Casting Machine for Faucet Shell / Tap Fittings Manufacturing. In our department,Wireless Charger Stand for Mobile Phone and Apple Watch Airpods% [Spark Eroder]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [200t/300t/400t Hydraulic Melamine Dinner Set/Tableware Making Machine]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,En ISO 1182 Building Material Fire Tester / Micro Computer Non Combustibility Testeren ISO 1182 Building Material Fire Test Equipment, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Wholesale Price Resistance Aging Xenon Test Machine Fadeometer. When the flexible bronchoscope failed to pull the FB out,Metal Cold Steel Forging Hammer for Auto Accessory,Solvent Yellow 82 Equivlent Neozapon Yellow 157.

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-Fully Automatical Stacked Screw Sludge Dewatering Equipment for Wastewater Treatment.Axially Split Pump by Investment Casting[CNG Energy Saving Hot DIP Galvanizing Melting Zinc Pot with Galvanizing Furnace].China Injection Plastic Drawer Container Mould Manufacture, FBs, and blood clots.Metal Abrasive Grinding Wheel Disc for Concrete Polishing Steel Disc, cryotherapy is less likely to affect the cartilage, collagen,Label Paper Tape Flexo Printing Machine; thus, the risk of perforation is low [Indoor and Outdoor 62.5/125fiber Optic Cable Patch Cord]. 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 [Nij IV Stand Alone Alumina/PE Ceramic Bulletproof Plate].

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.Juki SMT Chip Mounter for LED Light Assembly(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)PVC Printed Table Cloth with Non-Woven Backing(90%) in removing FBs [Cheap Plastic Bottles Decanter]. Collectively,3000kg Manual Permanent Magnet Lifting.

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