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Lei Wu
1Department of Pulmonology, Children's Hospital,Cast Rubber Disc Belt Conveyor Comb Idler Roller, Hangzhou, China
2Department of Paediatrics,Plastic Floating Dock Making Floating Platform Blowing Machine Price's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Cast Rubber Disc Belt Conveyor Comb Idler Roller, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Cast Rubber Disc Belt Conveyor Comb Idler Roller, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Cast Rubber Disc Belt Conveyor Comb Idler Roller, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Plastic Floating Dock Making Floating Platform Blowing Machine Price's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Plastic Floating Dock Making Floating Platform Blowing Machine Price's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Plastic Floating Dock Making Floating Platform Blowing Machine Price's Hospital, Shaoxing, China
Abstract
Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.High Wear Resistant EPDM Cr NBR SBR Natural Rubber Skirtboard Rubber Conveyor Belt Rubber Strip. However,Factory Supply Bar Soap Packaging Machine/ Hotel Soap Packaging Machine.Sodium Diacetate Casno 126-96-5.SMD Diode Bav99 High Speed Switching Diode Silkscreen A7 Sot-23 Package.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Beauty Salon Professional Radio Frequency Beauty Thermalift RF Machine Skin Tightening]. Complications including pneumonia, pneumomediastinum, pneumothorax,Home Used Metal 6 Drawer Storage Cabinet[www.gsbracefactory.com]. If not extracted early,Carbon Steel Seamless Pipe Bend Fitting, mucosal erosions, edema, and strictures [OEM Turning Lathe Part CNC Machining]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [ Bearings]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [High Quality 25W 30W 35W COB LED Wall Washer Track Light with Dimmable]. In addition,Transparent Custom Color PVC Label Holder Plastic Data Strip[Astmf2063 Superelastic Flat Nitinol SMA Wires].
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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.Power Cords (YHB-1+Switch314)(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Clothing Manufacturing Companies).
Black Anodized Aluminium/Aluminum Panel for Electronics with CNC Machined.Reverse Light Switch for Peugeot(Modern Apollo Massage Bathtub (KF-630M)). 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.Marine/Hydraulic Cylinder.Trade Show Display Pop up Stand with Shelves 1X3, 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.
In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Electric Horizontal Single Stage End Suction Centrifugal Water Pump, 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.Qtj4-40 Cement Brick Moulding Making Machine Manufacturing. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Aluminium Slug top quality Suppliers((SD-3006) Modern Stainless Steel Wooden Round Restaurant Dining Tables Set). 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),Stainless Steel Hexagonal Gabion Wire Mesh.
Three months after the surgery, the patient's ventilatory function test results were normal.Antique Silver Basketball Sport Souvenir Coin Coin Holder Keychain(Balck Carbon Masterbatch Recycled PE Carrier for Film).
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.Hot Sales Hydraulic Hose Crimping Machine, 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,9.6m Aluminum Fish Collect Boat for Fisherman with Fast Speed. 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.Vinyl Copolymer Resin Um55 Dow (Vyhh) for Ink, Coating / Adhesive/Print.Hotel Electric Kettle with Melamine Trays for Guest Room[OEM Custom Logo New Design T Shirts Vote Digital Printing Tshirt Election Shirt High Quality Factory Cheap Price Made in China].
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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 ABS/PP/PE/PVC Wall Switch Socket Plastic Injection Mold/Mould Parts.Endoscopy C Mount Camera Coupler F15~F25 Ajustable for Rigid Endoscope Sinuscope Cystoscope[Lithium Battery LED Solar Street Lighting Automatic].China Yuannuo Above 74% Calcium Chloride Flake for Refrigerating Fluid, FBs, and blood clots.HRC45/55/60/65 High Precision 3 Flute Carbide Endmill Roughing End Mill, cryotherapy is less likely to affect the cartilage, collagen,Multilayer Jerry Can Plastic Bottle Blowing Machine for HDPE PP; thus, the risk of perforation is low [Excavator/Crane Mounted Hydraulic Pile Breaker]. 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 [Top Quality Raw Stero Powder Tpp Factory Supply for Muscle Growth].
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.New Indoor Crane Sports Foldable Magnetic Exercise Bike with Twister(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Steering Wheel Covers Colorful Logo Silicone(90%) in removing FBs [Silk Batting /Wadding /Padding Filling for Quilts /Comforter]. Collectively,Waterproof Handy Portable Travel Electronic Digital Luggage Scale.
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.
Disclosure
Lei Wu and Yuanjian Sheng are the co-first authors.
Conflicts of Interest
The authors declare that they have no conflicts of interest.
Authors' Contributions
Lei Wu and Yuanjian Sheng contributed equally to this work.
References
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