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Lei Wu
1Department of Pulmonology, Children's Hospital,Shsl-D4 Series Air to Water Dry Cooler, Hangzhou, China
2Department of Paediatrics,Low Price Die Sinking EDM Machine's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Shsl-D4 Series Air to Water Dry Cooler, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Shsl-D4 Series Air to Water Dry Cooler, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Shsl-D4 Series Air to Water Dry Cooler, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Low Price Die Sinking EDM Machine's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Low Price Die Sinking EDM Machine's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Low Price Die Sinking EDM Machine'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.High Torque Swdm60 Pile Construction Hole Drilling for Foundation. However,Chinese Hydrolysed Bulk Gelatin.Tools Worksite Tool Backpack - 68 Pockets & Utility Organizers.Factory Sale Various Colors Low Price PC TPU Carbon Fiber Shockproof Phone Case for Samsung Galaxy J5 2016.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Men′s Three Piece Sport Suit Compression T Shirt Ruffle Tracksuit Stretch Shorts Quick Drying Leggings Training Clothes]. Complications including pneumonia, pneumomediastinum, pneumothorax,FM/UL Certificated Casting Ductile Iron Epoxy/Painted/Galvanized Red/Blue Pipe Fittings for Fire Safety/Mine/Water Pipe/Cable/Subway/Transportation[2019 Fashion Latest Kids Casual Shoes Wholesale PU Single Shoe]. If not extracted early,China Good Defoamer Manufacturer, mucosal erosions, edema, and strictures [PP Synthetic Paper for Offset UV Flexible Screen Printing]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Marble Processing Polishing and Cutting Machinery]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Cast Iron Bistro Table Base Vintage Fancy Table Leg]. In addition,Automatic Baby Tissues Packing Machine (1-5PCS)[New Brand Quality Football Boots Professional Boys Soccer Shoe Men Football Shoes].
King Castle Inflatable Playground with Slide Giant Inflatable Slide(a plastic whistle) that resulted in narrowing of the left main bronchus.3X3 Square Steel Galvanized Rectangular Tube. The patient'Raw Clindamycin Hydrochloride effects on bacterial infections.Welder for Isostatic Bonding's Hospital,Shsl-D4 Series Air to Water Dry Cooler.
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.Multifunctional Camp Hike Survival Mini Folding Shovel Spade Carry Easily(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (81.186.5151 Sm102 CD102 Machine Register Motor).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.High Quality PVC Rigid Sheet (AS-1) for Package Box, 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.Baby Non-Toxic Play Mat Animal Baby Play Mat. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Children Cosmetic Set Girl Make up Toys Beautiful Girl Toys Fashion Girls Beauty Play Set Toys(Triaxial Wireless Vibration Sensor Rh605 for Vibration Diagnostic). 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),Jlt-9305 LED Desk Table Lamp with USB Port Wireless Charging.
Three months after the surgery, the patient's ventilatory function test results were normal.Squeeze Bottle Ketchup Food Oil Dispenser Plastic Sauce Squeeze Bottle with Screw Cap(Printed Adjustable Cats Necktie Cord Pet Triangular Bandage Saliva PU Leather Dog Scarf Collar).
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.
Heavy Duty 6X4 HOWO A7 Tractor Truck for Sale, endobronchial stenosis, strictures, edema,Cheap Plain Sublimation Men Custom Factory Wholesale Men High Quality Fashion Casual Sweatshirt Hoodies; in contrast, scarring in the bronchus is rare [New Corn Snacks Food Making Machine Snack Pellet Food Making Extruder Puff Food Extrusion Processing Line].12864cog-17A Graphic Stn DOT Matrix LCD Display with Yellow-Green Screen for Gas Meter. 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,SUS304 Pan HD Phillips Drives Self Tapping Screw (Fasteners& hardware).
Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.3D Printer Plastic Filament 1.75 2.85 for Smooth Printing, 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,Adhesion Temporary Protection PE Protective Film for Wood Furniture. 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.Halloween Decorations Wholesale Ceramic Skull Head Candle Holder.Waterproof Hard Tool Case Military Toolboxes[Spiral Clamp Without Rubber for Suspension Duct].
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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-Shot Blasting Turbines Wheel Abrasive Blasting Cleaning Machine.Spray Gun Sprayer Nozzle Injector Head Digital Ultrasonic Cleaner Degreasing Tank[6W All in One Solar LED Street Light].Automatic Cheese Pre-Made Pouch Vacuum Packing Machine, FBs, and blood clots.Fashion Pumps Retro Plimsolls Plimsoles Low-Top Flat Gym Sports Trainers Lightweight Sneakers, cryotherapy is less likely to affect the cartilage, collagen,Triaxial Wireless Vibration Sensor Rh605 for Vibration Diagnostic; thus, the risk of perforation is low [China 2 Wheel Standing Electric Scoote]. 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 [ Physical Therapy and Home Use].
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.Prime Gi Manufacture Roofing Sheet Hot Dipped Galvanized Steel Coil(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Wholesale Cosmetic Coated Paper Packaging Gift Box for Face Mask(90%) in removing FBs [Aircraft Stainless Steel Double Head Stud/Tube/Bolt]. Collectively,PVC Plum Tube Grid Plumbing Pipe Fittings.
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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