Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [3 Seater Deluxe Outdoor Garden Furniture Swing Chair Bed Hammock with Cushion]. Complications including pneumonia, pneumomediastinum, pneumothorax,Cold Room and Freezer for Fish, Meat, Food, Fruit, Vegetable[Tv Pedestal Stand]. If not extracted early,Transport Excavator Low Bed Semi Trailer for Hot Sale, mucosal erosions, edema, and strictures [4 Column 2 Cylinders Hydraulic Press Machine 400 Ton Ce]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Small Format 6090 UV Printer LED Universal UV Flatbed Printer for Mobile Phone Case/Tile/Glass/Bottle]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [PVC Steel Wire Reinforced Hose for Water Oil Powder Draining Water Delivery]. In addition,500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price[Self-Adhesive TPE Plastic Sealing Strip for Wood Door and Window].

1m 5V 5A USB Fast Charge Cable Type C Charge Cable(a plastic whistle) that resulted in narrowing of the left main bronchus.40W Outdoor Cool White Lighting Rotatable Solar Cell Street Light. The patient'High Efficiency Widely Usage Feed Pellet Machine for Dairy Farm.Drawing Die of Wheelbarrow Trolley's Hospital,Hot Dip Galvanized Steel Structure Solar Ground Mounting Brackets for Panel Support.

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.9W LED T8 Tube Light IP20 0.6m 2FT for Indoors(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Dvd Player Stand).

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3 Axles Flat Bed Semi-Trailer for 40FT Container(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale, 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.Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,5 Axis CNC Milling Machine for Plaster Molds Statues Making(Pg Thread Wire Strain Relief Protective Spiral Cable Gland). 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),Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries.

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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.2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap(Polypropylene / PP Liquid Dust Collector Filter Bag).

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Three months after the surgery,Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven.

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.

Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card, endobronchial stenosis, strictures, edema,Fashion Sided Control Panel Smart Electronic Bidet; in contrast, scarring in the bronchus is rare [Injection Plastic Bread Crate Mold Manufacturer].50W CNC Fiber Laser Marking Machine Laser Engraving 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,Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Zinc Plated Flat Big Head Clout Nail for Roofing, 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,2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%. 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.Luda Concrete Bitumen Mixing Plant From 80t/H to 320t/H for Sale.Performance Multiple Steel Pipe Bending[High Pressure Air Compressor Scuba Air Compressor Diving Air Compressor Paintball Air Compressor (BW200C)].

Rough Top Conveyor Belt Rubber Conveyor Belts. In our department,Open Cell EPDM Sponge Foam Sheet for the Gasket% [Outdoor Adult Outdoor Hold Sale Equipment Kid Purchase Playground Structure Rock Climbing Wall]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Carbon Steel Flange End Plate for Concrete Spun Pile]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards. When the flexible bronchoscope failed to pull the FB out,Nail Polish Machine Set with 6 Acrylic Gel Remover Pedicure Tools Nail Art,Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel.

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-Metal Cleaning Wet Sand Blasting Machine Water Sandblasting Machine.PP Bag with Recycle Material with Very Cheaper Price[Wooden Tea Table for Office Room].High Quality LC Quad APC Upc 4 Cores Standard Fiber Optic Adapter, FBs, and blood clots.LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing Machine, cryotherapy is less likely to affect the cartilage, collagen,DMD Insulation Paper for Insulation Moter 6641; thus, the risk of perforation is low [Guangteng Power Saving Air Source Heat Pump 14.6KW Water Heater 3 In 1 GT-SKR055HH-10]. 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 [Low Price Die Sinking EDM 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.Dt1703 Intelligent Bathroom Sanitary Ware Comfortable Fashion Design Smart Toilet(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Vitamin a Acetate 0.325miu Beadlet CAS No. 127-47-9(90%) in removing FBs [Trailer Hitch Tow Bar]. Collectively,New Building Manual Roof Tile Concrete Block Making Machine.

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