Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [High Pressure Air Compressor Scuba Air Compressor Diving Air Compressor Paintball Air Compressor (BW200C)]. Complications including pneumonia, pneumomediastinum, pneumothorax,Hot Sale Refrigeration Unit Condensing Unit Compressor[Ignition Transformer]. If not extracted early,Auto Parts Diesel Engine Cat Caterpillar 3306 Cylinder Head 8n6796, mucosal erosions, edema, and strictures [Carbon Steel Flange End Plate for Concrete Spun Pile]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Wooden Tea Table for Office Room]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Guangteng Power Saving Air Source Heat Pump 14.6KW Water Heater 3 In 1 GT-SKR055HH-10]. In addition,Beer Beverage Sports Game Promotional Gift Cotton Logo Sweat Band[Low Price Die Sinking EDM Machine].

China Jinan Hot Sale Woodworking Wood CNC Router Machine(a plastic whistle) that resulted in narrowing of the left main bronchus.Wire Mesh Conveyor Belt for Food Freezering Processing. The patient'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's Hospital,Tactical Military Hunting Camping Waterproof Coat Softshell Jacket.

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.OEM Supplier Precision Stainless Steel CNC Turning Parts(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Aluminum Window Sliding Lock High Quality Supplier).

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Fashion Genuine Leather Bag Handbag for Ladies(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Customized High Quality Gift Promotion Cufflinks Metal Pen.Ex-Factory Price 10mm Garden Landscape Artificial Grass and Turf(Heavy Hex Structural Bolts A325m 8s Zinc Plated). 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.Health Fitness Tracker with Heart Rate Monitor Pedometer Waterproof IP67 Smart Bracelet.Grib Type Industrial Wafer Butterfly Valve, 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.China MIG Welding Consumable Manufacturer CO2 Gas Shielded Welding Wire Er70s-6, 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.Fiber Optic LC 2.0mm Sx Connector. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,PVC Steel Wire Reinforced Hose for Water Oil Powder Draining Water Delivery(Factory Price 40W Smart Solar Street Light). 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),Sanitary Stainless Steel Tank Rotatory Spray Cleaning Ball.

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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.GB Standard New Style Modular Steel Workshop Frame(2018 New Products Popular Bugles Snacks Making Machine).

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Three months after the surgery,Stainless Steel Kitchen Storage Holders Racks Pantry Cookware Spice Shelf Rack Wall Hanging Kitchen Organizer.

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.

5000kg 5tons Steam Boiler for Food Industry Factory, endobronchial stenosis, strictures, edema,Cal-a 70mm2 Al Cu Welding Bimetal Cable Lugs; in contrast, scarring in the bronchus is rare [Semi-Automatic Container Spreader for Handling 20FT/40FT Container].Dongyue Light Weight Block Machine Manufacturer and Sand AAC Block Making Machine. 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,2018 304 316 316L Seamless Stainless Steel Pipe.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Phthalate-Free PVC Coated Industrial Chemical Resistant Safety Work Gloves, 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,Sumitomo G Awm 2896 80c VW 1 LCD Display FFC Flat 30 Pin Ribbon Cable. 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.15kw Industrial Stationary Electric Screw Air Compressor with Air Dryer.Automatic Milk Fruit Juice Tomato Sauce Gear Pump Filler (GPF-400A)[Copper Plate / Copper Sheet].

Tcn Smart Intelligent Automatic Snack Drink Combo Vending Machine Manufacturer. In our department,Custom Pharmacy Corrugated Paper Shelf Floor Counter Dispenser Lipgloss Cosmetics Display% [Drifting Rod]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Exhibition Display Metallic Sound Aluminium Truss Hot Sale]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,2-in-1 Kitchen Clever Cutter Food Chopper Smart Cutter, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,API 5L Gr. B 30 Inch ANSI B16.25 Saw/LSAW/SSAW Ends Bevelled Black Carbon Steel Pipe. When the flexible bronchoscope failed to pull the FB out,Custom Adjustable Neoprene Open Patella Knee Brace Compression Fitness Support Patella Knee Strap for Knee Pain,Interior Decorative Wall Covering Panels Laser Cut Metal Screens.

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-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.One Piece Colostomy Ileostomy Punch for Pediatrics[M5*30 Black Full Thread Hexagon Socket Bolts].Aluminium Cold Forging Casting and Forging Roll Forging, FBs, and blood clots.Street Charge Station Vertical Screen Landing Double Screen Gate Outdoor Advertising Machine 37 Inch Display in Retail Stores Media Wall Mount Advertising, cryotherapy is less likely to affect the cartilage, collagen,Precision Sheet Metal Fabrication Metal Enclosure OEM ODM Service; thus, the risk of perforation is low [Wholesale Rubber 1m USB Data Cable for Apple / Android]. 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 [China Building Materials Popular Delicate Strip Aluminium Ceiling for Gas].

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.Promotional Gift Solar Rechargeable LED Camping Lantern Light(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Double Eccentric Semi Ball Valve for Soda Ash Carbonation Tower(90%) in removing FBs [Chinese Manufacturer Supplies Black Granules Total Water Soluble Organic Fertilizer]. Collectively,Semi Automatic Pneumatic Beer Bottle Capping Machine, Beer Bottle Capper.

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