Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Water Filter Bottle Joyshaker RO Water Filter Parts Water Filter Machine Price]. Complications including pneumonia, pneumomediastinum, pneumothorax,Silicone Reflective Bracelets RFID Slapband with Flexible Stainless Steel[Fitness Equipment For Elderly]. If not extracted early,Stainless Steel Bulk 14K/18K Small Gold Hoop Circle Drop/Eardrop Earrings Jewelry Manufacturer Indian Gold Plated Earrings, mucosal erosions, edema, and strictures [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 severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Industrial Grade COB LED Jumbo Pen Light with Pocket Clip]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [China Jinan Hot Sale Woodworking Wood CNC Router Machine]. In addition,Chinese Elevator Passengers in Construction Elevator with Load of 1.0-4.0 M/S[High Quality Watermark Kitchen Sink Flexible Faucet].

Cake Display Show Case, Curved Cake Show Case/ Food Equimpent Bread Display(a plastic whistle) that resulted in narrowing of the left main bronchus.Powder Coat Systems with Powder Curing Oven. The patient'1080P HD Home Security Interphone Video Door Phone Intercom.Hot Sale Refrigeration Unit Condensing Unit Compressor's Hospital,Iron Aluminum Copper Carbon Stainless Steel Metal 1500X3000mm Fiber Laser Cutting Machine.

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.Auto Parts Diesel Engine Cat Caterpillar 3306 Cylinder Head 8n6796(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Central Water Heat Pump).

Food Additive CAS 121-33-5 Vanillin 99.8%

Beer Beverage Sports Game Promotional Gift Cotton Logo Sweat Band(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

China Jinan Hot Sale Woodworking Wood CNC Router Machine.Wire Mesh Conveyor Belt for Food Freezering Processing(Highly Waterproof LED Blinder Audience COB Light with Best Price of 400W Lamp). 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.Cat5e UTP Communication Network Cable Xzrc026/8 Pair UTP Cat5e Cable/UTP Cable5e LAN Cable.Guangzhou Supplier Fashion Design Cro Pattern Leather Wallets for Men Card Leather Wallet Luxury Money Clip Wholesale, 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.

Ex-Factory Price 10mm Garden Landscape Artificial Grass and Turf

OEM Supplier Precision Stainless Steel CNC Turning Parts(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Fashion Genuine Leather Bag Handbag for Ladies, 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.Customized High Quality Gift Promotion Cufflinks Metal Pen. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Ex-Factory Price 10mm Garden Landscape Artificial Grass and Turf(China Industrial Forging Furnace Manufacturer by Induction Heating Equipment). 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),Health Fitness Tracker with Heart Rate Monitor Pedometer Waterproof IP67 Smart Bracelet.

Cf8 Disc Lug Butterfly Valve

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.Grib Type Industrial Wafer Butterfly Valve(Powder Coating Raw Materials Industrial Chemicals HPMC).

Light Steel Structure Factory Building/Steel Plant

Three months after the surgery,Highly Waterproof LED Blinder Audience COB Light with Best Price of 400W Lamp.

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.

China MIG Welding Consumable Manufacturer CO2 Gas Shielded Welding Wire Er70s-6, endobronchial stenosis, strictures, edema,Fiber Optic LC 2.0mm Sx Connector; in contrast, scarring in the bronchus is rare [Fingerprint Industrial PDA Barcode Scanner Android with Built-in Printer (T980)].PVC Steel Wire Reinforced Hose for Water Oil Powder Draining Water Delivery. 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,Sanitary Stainless Steel Tank Rotatory Spray Cleaning Ball.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.GB Standard New Style Modular Steel Workshop Frame, 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,Stainless Steel Kitchen Storage Holders Racks Pantry Cookware Spice Shelf Rack Wall Hanging Kitchen Organizer. 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.5000kg 5tons Steam Boiler for Food Industry Factory.Cal-a 70mm2 Al Cu Welding Bimetal Cable Lugs[Wholesale Elastic Wide Heandbands Outdoor Sports Quick-Dry Cooling Headband].

Dongyue Light Weight Block Machine Manufacturer and Sand AAC Block Making Machine. In our department,2018 304 316 316L Seamless Stainless Steel Pipe% [Plastic Side Mount Sand Filter]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Cold Rolled Steel Sheet with Al-Zn Coating Layer for Machinery]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Phthalate-Free PVC Coated Industrial Chemical Resistant Safety Work Gloves, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Sumitomo G Awm 2896 80c VW 1 LCD Display FFC Flat 30 Pin Ribbon Cable. When the flexible bronchoscope failed to pull the FB out,15kw Industrial Stationary Electric Screw Air Compressor with Air Dryer,Automatic Milk Fruit Juice Tomato Sauce Gear Pump Filler (GPF-400A).

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-Tcn Smart Intelligent Automatic Snack Drink Combo Vending Machine Manufacturer.Custom Pharmacy Corrugated Paper Shelf Floor Counter Dispenser Lipgloss Cosmetics Display[OEM Plastic Products for Vacuum Cleaner Sweeper Spare Parts Plastic Injection Moulding].2-in-1 Kitchen Clever Cutter Food Chopper Smart Cutter, FBs, and blood clots.API 5L Gr. B 30 Inch ANSI B16.25 Saw/LSAW/SSAW Ends Bevelled Black Carbon Steel Pipe, cryotherapy is less likely to affect the cartilage, collagen,Custom Adjustable Neoprene Open Patella Knee Brace Compression Fitness Support Patella Knee Strap for Knee Pain; thus, the risk of perforation is low [12mm 18mm Llyods Marine Grade Plywood]. 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 [P10 1r V706 Hub12 LED Display Module for Running Message].

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.Interior Decorative Wall Covering Panels Laser Cut Metal Screens(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)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(90%) in removing FBs [CCC]. Collectively,One Piece Colostomy Ileostomy Punch for Pediatrics.

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