Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Powder Coating Raw Materials Industrial Chemicals HPMC]. Complications including pneumonia, pneumomediastinum, pneumothorax,Strong D32X43mm Office Push Pin Magnets Fridge Magnets[Cy-02 Mini Streamline Bluetooth Loudspeaker]. If not extracted early,Hairise Food Electric Portable Automated Pallet Mobile Conveyor, mucosal erosions, edema, and strictures [Light Steel Structure Factory Building/Steel Plant]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Fingerprint Industrial PDA Barcode Scanner Android with Built-in Printer (T980)]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Wholesale Elastic Wide Heandbands Outdoor Sports Quick-Dry Cooling Headband]. In addition,Range Shifting Lever Professional Parts Tractor Gear Main Shift Lever[Cold Rolled Steel Sheet with Al-Zn Coating Layer for Machinery].

China Manufacturer Stainless Steel Cap ASTM A403 2′′ Sch10s(a plastic whistle) that resulted in narrowing of the left main bronchus.H24 Temper, 5052 Aluminum, Cans Lid Aluminium Alloy Products. The patient'Copper Plate / Copper Sheet.Hot Sale 6X6 Concrete Reinforcing Welded Wire Mesh's Hospital,CNC Electric Multi Spindle Flexible Arm Vertical Hand Tapping 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.Round Nickel Plated Pop up Table Socket with European Quality(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Shaving Lighted Mirror).

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Impregnation Process Acrylic Drawer Multi Layers Large High Capacity Oven(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

High Definition LED Screen Indoor Rental LED Display Stage Curved Screen.Ea240g Karaoke 2.4 G Wireless Amplifier Speaker of China Manufacturer(12mm 18mm Llyods Marine Grade Plywood). 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.Hot Sale Grade AAA+ Quality Mobile Phone Touch Screen with Digitizer for iPhone 8 Plus.Textile 100% Cotton Fabric Rotary Print Quilt Do6180, 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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L-Cup6 Solder Phoscopper Alloy Copper Phosphorus Brazing Welding Rods(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Automatic High-Frequency Welding Pipe Making Machine for Square and Circular Tube, 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.Different Color Ready Mixed Glitter Epoxy Grout for Floor Tiles. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Cylindrical Glass Ceramic Tiki Mug Cup with Character Letters(Decorative Wedding Screen Room Divider 316 Stainless Steel Sheet Metal Screen Wedding Room Partition). 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),F-Theta Scanning Lenses, Optical Lenses.

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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.Amusement Park Fast Ball Cleaning Machine for Indoor Playground(Auto Parts Brake Pads for Ford Ranger 2017 Eb3c-2m007-AA).

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Three months after the surgery,Low Price Used Cat 140h Motor Grader.

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.

200t/300t/400t Hydraulic Melamine Dinner Set/Tableware Making Machine, endobronchial stenosis, strictures, edema,Wholesale Tote Food Wine Beer Picnic Lunch Cooler Insulated Bag with Single Shoulder Strap; in contrast, scarring in the bronchus is rare [Wood Pellet Equipment Pellet Mill Press Machine for Sale].Excavator/Crane Mounted Hydraulic Pile Breaker. 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,PC ESD Board Hollow Polycarbonate Sheets.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.12mm Steel Coil Staighten and Cut to Length Line, 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,Real Silicone Sex Dolls Robot Japanese 165cm Realistic Sexy Anime Oral Love Doll Big Breast Vagina Adult Full Life Toys for Men. 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.Nij IV Stand Alone Alumina/PE Ceramic Bulletproof Plate.Jarliet New 164cm Adult Sex Toys Realistic Silicone Big Breast Ass Skinny Waist Sex Doll[Professional Injection Rice Cooker Plastic Parts Mould].

Factory Price Anti Corrosion Vci Coated Paper PE Material Coated Anti-Rust Vci Paper. In our department,2019 High Quality HiFi True Wireless Stereo Sports Music Earbuds Qcc3020 Bluetooth Headset% [Classcial Y Back Steel PU Cushion Cafe Shop Chair (C106)]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Long-Lived Mini USB Port Guard Patrol Device with GPS Tracking System]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Auto Parts Clutch Disc for Toyota Hilux Vigo Kun25 31250-0K201, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,500kg PP PE Film Shopping Bag Plastic Recycling Machine Manufacturer. When the flexible bronchoscope failed to pull the FB out,CNC Machining Parts for Oil Pump Machinine Sheet Metal Fabrication,Battery Powered CCTV Wireless WiFi Camera Low Comsuption IP Camera.

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-Parking Lot Reflective Rubber Right Angle Corner Guard Garage Wall Protector.Self-Locking Back to Back Hook and Loop Tapes[Aluminium Slug top quality Suppliers].Phospholipids& Esterified Astaxanthin Krill Oil Softgel Powerful Than Fish Oil, FBs, and blood clots.Top Sale 4 PCS Educational Wood Cube Puzzle for Children W14f062, cryotherapy is less likely to affect the cartilage, collagen,1260c 1430c Fire Resistant Ceramic Fiber Board for Chemical Reaction Equipment 900X600X25/50 Size Is Produced as Requirements. 280-320kg/M3 Mineral Wool Board; thus, the risk of perforation is low [Newly Original Sick Inductive Sensor Proximity Switch Wtb4s-3p2162]. 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 [BOPP Transparent Hot Melt Packaging Tape for Machine].

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.Alcohol/Ethanol Distillation Equipment Manufacturers(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Replacement Monocular paper core Pleatco PA175 Cartridge for Hayward Star-Clear Plus C-1750(90%) in removing FBs [China Solar Power Systems For Homes]. Collectively,Powder Coating Raw Materials Industrial Chemicals HPMC.

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