Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [New Home Office Workout Ab Abdominal Trainer Exercise Wheel]. Complications including pneumonia, pneumomediastinum, pneumothorax,Outdoor Cooker Wood-Burning Stove Camping & Hiking Products Stove[330ml Glass Jam Jars Empty for Sauce Honey Glass Jar]. If not extracted early,Microfiber Cleaning Cloth for Glasses or Electronic Products, mucosal erosions, edema, and strictures [Nash Pump Part for Stainless Steel for Oil]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [China MIG Welding Consumable Manufacturer CO2 Gas Shielded Welding Wire Er70s-6]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [High Resistance Sodium Methyl Siliconate Agent/Sealer for Waterproofing Wood / Marble / Stones]. In addition,RFID Polyester Woven Wristband for Party and Concert Festival[IP44 15W 20W 25W Anti Glare Aluminum COB LED Down Ceiling Spotlight Light].

Lady′s Bodybuilding Hoodies Gril Gyms Hooded Long Sleeve Fitness Clothing(a plastic whistle) that resulted in narrowing of the left main bronchus.Hot Selling Far Infrared Physiotherapy Patch for Joint Pain Arthritis. The patient'High Temperature PPS and Nomex Filter Cartridge.High Performance VSD/VFD Variable Frequency Drive (SY6600 Series)'s Hospital,Hot Galvanized Solar Engergy PV Mounting Support Structure.

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.High Quality Watermark Kitchen Sink Flexible Faucet(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Purple Flocklined Natural Rubber Gloves for Household Use).

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Crosstrainer Cheap Magnetic Bike(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Cast Iron Trench Drain Grating for Concrete Drainage System.Automatic Coffee Bean Packing Machine(Semi Precious Stone Natural Crystal Labradorite Display Gemstone). 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.Semi-Automatic Container Spreader for Handling 20FT/40FT Container.Steel Invetsment Casting Parts Custom, 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.Customized UPVC EPDM PVC Silicone Rubber Seal Strip for Aliminum Window Door, 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.China Sinotruk HOWO 4X2 5t 6t 7t Stake Cargo Truck with High Quality. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Freestanding Black Electric Fireplace with Flames Displayed on LCD Screen(Zinc Plated Flat Big Head Clout Nail for Roofing). 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),Ladys Running Pants for Exercise and Sports.

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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.Andozed Aluminium Profile T Slot for Factory(Jlt-9305 LED Desk Table Lamp with USB Port Wireless Charging).

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Three months after the surgery,Exhibition Display Metallic Sound Aluminium Truss Hot Sale.

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.

Blue Three Motors Cc-80L Wet and Dry Industrial Vacuum Cleaner, endobronchial stenosis, strictures, edema,Quick Money Making Optima Steamer Portable Car Wash; in contrast, scarring in the bronchus is rare [Automatic Coffee Bean Packing Machine].Pure 99% High Quality Melanotan2 10mg White Powder. 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,Motorcycle Spare Parts Air Filter/Cleaner/Element/Filtro De Aire for Honda Gfm, Wh110t-a, Ggc, 110t, SDH110t-2-3, Hph Wh125-6, K48, Ns110.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Pure Mineral Water Packaging Machine, 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 Riot Suit; Chemical Suit; Riot Control Suit. 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.Diamond Shape Portable Galvanzied Chain Link Fence.Mfi Certified Manufacturer Charging Cable Flat Noodle Design Fast Lightning to USB Cable Data Cable Wire for iPhone X 8 Plus 7 Plus 6/6s Plus 5s 5c[Foldable Type Beer Bottle Koozie Stubby Cooler with Customized Logo].

Customized Hard Shell Zipper Travel Carrying EVA Headphone Case. In our department,40/2 100% Spun Polyester Sewing Thread - Black% [Radio Frequency Vacuum Ultrsound Cavitation Cellulite Treatment Beauty Device]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Carbon Steel Seamless Pipe Bend Fitting]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Aseptic Cold Filling Ultra Clean Aluminum Beverage Cans Canning Equipment/ Plant Filling System, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration. When the flexible bronchoscope failed to pull the FB out,Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket,Press Filter for Mining Industry Sludge Treatment.

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-Fashion Luminous LED Wrist Watch Silicone Sport Watch (JY-SD008).2018 New Products Popular Bugles Snacks Making Machine[Liya 8.3m Marine Boat Small Patrole Boat Speed Navy Boat].LED Remote Display Control Board for Distance Tripmeter PCBA, FBs, and blood clots.Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale, cryotherapy is less likely to affect the cartilage, collagen,Sandwich Panel Material Color Coated Roofing Sheet Price Per Meter; thus, the risk of perforation is low [High Quality Custom Case Bound Book Printing]. 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 [Top Sale Fresh Fruit Sweet Golden Pears with Juicy and Tasty].

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.Extruded Wheat Fried 3D Pellet Bugles Crispy Chips Frying Machine(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Moving Head Rain Cover, Waterproof Moving Head Light Cover(90%) in removing FBs [Apollo High Quality Blow Molding Machine for 3000L Water Tank]. Collectively,Rock Climbing Mountaineering Polyester/Nylon Braided Ropes.

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