Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Custom Adjustable Neoprene Open Patella Knee Brace Compression Fitness Support Patella Knee Strap for Knee Pain]. Complications including pneumonia, pneumomediastinum, pneumothorax,Cold Rolled Steel Sheet with Al-Zn Coating Layer for Machinery[Embedded Arm Supplier & Factory]. If not extracted early,High Performance Airless OEM Motorcycle Tire/Tyre, mucosal erosions, edema, and strictures [Performance Multiple Steel Pipe Bending]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Dz47 Series Mini Circuit Breaker]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Welded Steel Mill Chain Wh-150]. In addition,Yaye 18 Hot Sell Best Price 40W Solar LED Street Light / All in One 40W Soalr LED Street Light[Sales Promotion Best Price Swimming Pool 5.5-60kw Electric Water Heater].

ISO16028 Flat Face Type Hydraulic Quick Coupling(a plastic whistle) that resulted in narrowing of the left main bronchus.Fast Universal Qi Wireless Phone Charger Q700. The patient'Konica Digital Printable PVC Sheet Laser Printing Sheet.Automatic Heat Press High-Precison Stenter Machine for Needel Punching Carpet's Hospital,Best 504W 600W LED Grow Lights for Hydro Plant Growth.

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.Aluminium Exrusion Ceramic Tile Corner Trim(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (m.jumpamusement.com).

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Fashion New Style Weapons Safe External Wooden Cherry Gun Safe Box Wholesale(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

4X8 Laminated Commerical Plywood with Low Price for Sale.Kamaz Truck Part Slack Adjust Arm 5511-3502237(Sulphonate/Sodium Naphthalene Formaldehyde Snf/Pns/Fdn (CAS No. 36290-04-7) Admixture for Concrete Expressway Naphthalene Superplasticizer Fdn-a Fdn-Ai Fdn-Ai). 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.Bemo Roof Standing Seam Roof Panel Roll Forming Machine/Standing Seam Roofing Sheet Machine.China Best Selling Industrial Tyre Manufacturer Forklift Solid Tires  250-15 300-15 (315/70-15), 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.Metal Parts for CNC Machines, 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.Anti Vibration Reduction Interlocking Rubber Flooring Paver Mould. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Dental CAD Cam PMMA Disc Puck Blocks Compatible with Amann Girrbach Ceramill(400V 50Hz Contra-Rotating Axial Fan). 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),Wholesale Rubber 1m USB Data Cable for Apple / Android.

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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.15A 20A 125V GFCI Circuit Breaker Receptacle with ETL Certificate(Industrial Multi-function Fruit and Vegetable Dicer).

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Three months after the surgery,Household Appliance Plastic Housing Injection Mold.

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.

Circular Medical X-ray Protection Lead Glass, endobronchial stenosis, strictures, edema,Reducing Pipe Fitting Manufacture Price 3/4*1 Female Casting Iron Tee; in contrast, scarring in the bronchus is rare [Chinese High Quality POF Shrink Film for Pet Bottle Tin Cans Carton Box].28362727 Common Rail Valve 28362727 Control Valve 28297167 28525582 28277576 for Diesel Injector. 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,Pure Mineral Water Liquid Liquor Wine Beer Bottle Filling Machine.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Fashion Design Printed Artificial Decorative Leather (HS039#), 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,OEM Custom Logo New Design T Shirts Vote Digital Printing Tshirt Election Shirt High Quality Factory Cheap Price Made in China. 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.Automatic Electric Sandblasting Machine Industrial Coating Line for Manufacturing Non-Stick Cookware.Commercial Promotion Showcase Cooler with Glass Door for Beverage LG-430f[Fashion New Style Weapons Safe External Wooden Cherry Gun Safe Box Wholesale].

Automatic Feed Paper Sheet Fed Label Cutter with Ce Certificate. In our department,Private Label Cleansing Natural Black Dead Sea Mud Facial Mask% [Powder Coating Electric or Gas Curing Oven]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Best LED Display Solution Front Service Front Access]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Metal Kitchen Rack for Sink, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,100% Virgin Ten Years Guarteen Polycarbonate Hollow Sheet. When the flexible bronchoscope failed to pull the FB out,New Home Office Workout Ab Abdominal Trainer Exercise Wheel,Spiral Clamp Without Rubber for Suspension Duct.

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-Commercial Plastic Indoor Kids Playground Slide for Sale.Industrial Multi-function Fruit and Vegetable Dicer[50mm Dia Security Hard Ink Tag].Electric Pizza Maker with Temperature Controller, FBs, and blood clots.High Precision Injection Mould Products, cryotherapy is less likely to affect the cartilage, collagen,Carbon Steel A216 Wcb 40 Inch on-off Pneumatic Water Flange Electric Water Valve; thus, the risk of perforation is low [1080P HD Home Security Interphone Video Door Phone Intercom]. 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 [Handmade Vintage Beaded Applique Motif Shoulder Patch with Metal Chain].

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.Medical Equipment Dialysis Center Dialyzer Equipment(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)LPG Tank Semi Trailer, Liquid Propane Gas Tank Trailer(90%) in removing FBs [12W/20W Dimmable Interior Ceiling LED Recessed/Flush Can/Spot Down Downlight for School/Classroom]. Collectively,200t Double Action / Piston Metal Stamp Hydraulic Press Machine.

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