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Lei Wu
1Department of Pulmonology, Children's Hospital,PVC Plum Tube Grid Plumbing Pipe Fittings, Hangzhou, China
2Department of Paediatrics,Colorful Silicone Collapsible Funnel Foldable Funnel for Liquid Transfer L's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,PVC Plum Tube Grid Plumbing Pipe Fittings, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,PVC Plum Tube Grid Plumbing Pipe Fittings, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,PVC Plum Tube Grid Plumbing Pipe Fittings, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Colorful Silicone Collapsible Funnel Foldable Funnel for Liquid Transfer L's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Colorful Silicone Collapsible Funnel Foldable Funnel for Liquid Transfer L's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Colorful Silicone Collapsible Funnel Foldable Funnel for Liquid Transfer L'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.New Arrival Stainless Steel Case with Wooden Bracelet 3ATM Water Resistant Men Watch. However,Custom High Professional Lathing/ Milling/Turning Precision CNC Metal Parts.Titanium Tube Evaporator Chiller Heat Exchanger.3D Fiber Laser Cutting and Engraving Machine.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Chinese Hydrolysed Bulk Gelatin]. Complications including pneumonia, pneumomediastinum, pneumothorax,Carboxylic Butadienestyrene Latex[Race Bib Medal Hanger High Quality Supplier]. If not extracted early,UV LCD 3D Printer Orange 10, SLA Resin 3D Printer with 2.8-Inch Full Color Touch Screen off-Line Print Build Volume 3.86 (L) X 2.17 (W) X 5.5 (H), mucosal erosions, edema, and strictures [Special Geometric Design Jewelry Sterling 925 Silver Earring]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Customized Hard Shell Zipper Travel Carrying EVA Headphone Case]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Hot Sales Chile Favourate Tile Carpet]. In addition,500L Cask Beer Microbrewery System Fermentation Tank[PE Thin Wall Pipe Production Line (Dim. 1680mm)].
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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.Dental Sintering Furnace Price(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Kh1490 Laser Engraving Cutting Machine CO2 Laser Engraving Cutter).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Mobile Intelligent Batching Production Line, 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.Pig Farming Equipment/ Feeding Awitch for Round Pipe/Wet and Dry Feeder for Pig. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Promotional Leakproof Bento Lunch Box Heat Preservation(Ball Burnishing Fine Polishing Aluminum Polishing Media Russia). 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),Professional Microneedle Fractional RF Scar Removal Facial Treatment Thermagic Skin Tighten Machine.
Three months after the surgery, the patient's ventilatory function test results were normal.8mm Thickness Cielo Raso En PVC Wall Panel False Plastic Ceiling DC-1117(Two Steel Rings and Rubber Washers Floating Oil Seal).
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.
7/3.05mm, 7/3.45mm, 7/4.0mm, 19/1.8mm, 19/2.3mm. Stranded Galvanized Steel Wire, endobronchial stenosis, strictures, edema,Color Metallized Pet Film for Lamination Paper & Paperboard; in contrast, scarring in the bronchus is rare [Alumina Foam Filter Al2O3 Ceramic Foam Filter Ppi 10-60 for Metal Filtrtaion].Inox 201 430 Welding Stainless Steel Tube 6mm ERW Stainless Steel Welded Pipe Polish Finish. 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,Factory Price Battery Charger Protect Printed Circuit PCB Board.
Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Plastic Frosted Glass LED Lamp Cover Mold/Mould, 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,Anti-Slip Entrance Mats/Tufted Carpet//PVC Backing/ Floor Mats/Door Mats. 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.CNC Machine for 1300X900mm Engraving Machine.Nitrogen Inflator Pressure Swing Adsorption Generator of High Purity Big Capacity[Diamond Shape Portable Galvanzied Chain Link Fence].
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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-OEM Plastic Products for Vacuum Cleaner Sweeper Spare Parts Plastic Injection Moulding.Wafer Insert Swing Slim One Way Non Return Check Valve[Anping Heavy Galvanized Hexagonal Mesh].Nootropics Human Growth Polypeptide Selank for Anti-Depression, FBs, and blood clots.Builtin 2000mAh Battery Vaporesso Target Mini 2 Kit 50W Vaper Electronic Cigarette Vs Target Mini, cryotherapy is less likely to affect the cartilage, collagen,Mutil Story Prefabricated Steel Structure Hotel Building; thus, the risk of perforation is low [ Kids Amusement Park]. 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 [Dumpling Samosa Spring Roll Maker Making 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.3t Hydraulic Scissor Lift/Car Lift for Garage/Workshop/Tire Shop(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Poster Printing Bright White Matte Coated Inkjet Photo Paper 108GSM, 128GSM, 180GSM(90%) in removing FBs [China Induction Welding Machine For Industrial Metals]. Collectively,New Castle Style for Children Kids Outdoor Indoor Playground Big Slides Good Quality with En 1176 Standard.
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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