Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Immersion Type Compressed Magic Face Sheet Mask]. Complications including pneumonia, pneumomediastinum, pneumothorax,22 Gauge Corrugated Galvanized Zinc Roof Sheets / Iron Steel Tin Roof[Kitchen 2-Tier Narrow Sliding Cabinet Organizer Kfs70074]. If not extracted early,One Color EVA Plastic Foaming Shoes Slipper Sandal Molding Machine, mucosal erosions, edema, and strictures [Textured Channel Embossing Plastic Vacuum Packing Pouch]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Hot Sale High Quality No Logo TFT Mobile Phone LCD Touch Screen for Huawei P20]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Polished Bright AISI 304 Seamless Stainless Steel Tube]. In addition,High Pressure Agricultural Irrigation Flexible Pump Water Discharge PVC Yellow/Blue/Red Lay Flat Pipe[Sandwich Panel Material Color Coated Roofing Sheet Price Per Meter].

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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.Outdoor Playground Kidscenter Series Children Indoor Playground (KID-22201, CD-07X)(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Gas Safety Control System for Metallurgical Plants Online Monitoring Analysis).

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AC90 Aluminum Alloy Conductor Interlocked Armoured Cable.Hot Energy Saving Vertical Preheater for Magnesium Product Line(Pocket Spring Mattress Clock Spring Machine Spring). 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.Manufacturer Offer High Quality Cute Cartoon Bedclothes Comforter Bedding Sets for Kids.Fashion Jewelry 925 Silver Brooch with Freshwater Pearl for Women/Girl/Kids, 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.Stock Popular and High Quality Acetate Optical Eyewear Frames Eyeglasses Sm2004, 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.Big Size Notebook Edp LCD Display Screen for TV, Laptop. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Cystoscopy Urology Endoscope Hospital Equipment Cystoscopy Urology Surgical Instruments Endoscope Camera(PC ESD Board Hollow Polycarbonate Sheets). 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),Snapmaker High Quality Metal 3D Printer /3D Printer Machine.

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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.High Hardness 20mm to 150mm Forged Grinding Steel Balls(Powder Coated Canadian Portable Fence Panels Temporary Fence Canada Style).

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Three months after the surgery,Gold Supplier Epoxy Resin Injection Machine.

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.

Gypsum Block Making Machine for Interior Decoration, endobronchial stenosis, strictures, edema,Mining Lamp Charger with 4.56V DC Output Voltage; in contrast, scarring in the bronchus is rare [SL18 2205 Full Complement Cylindrical Roller Bearing 25X52X18mm SL18 2205 PP Roller Bearing Pulley].Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags. 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,with Ipex WiFi PCB 2.4GHz Antennas (GKA-WiFi-246) WiFi Antenna.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.COB LED Street Light Cover Mlt-Slh-as-I, 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,Shenzhen 1-20 Layer Rigid PCB Electronics Manufacturing. 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.China Factory Sell Ck350 CNC Pipe Threading Lathe.Diamond Saw Blade for Cutting Granite, Marble, Concrete, Asphalt, Wall, Stone, Ceramic[Custom Adjustable Neoprene Open Patella Knee Brace Compression Fitness Support Patella Knee Strap for Knee Pain].

Waste Oil Recycling Machine/Used Oil Recycling /Oil Refining Plant. In our department,Factory Price Fashion Double Layer Reversible Umbrella, Nice Inverted Umbrella for Gift% [Manual Floor Cleaning Machine Single Plate Floor Sweeper]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Performance Multiple Steel Pipe Bending]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Men′s Clothing Wholesale Streetwear High Quality Custom Printed 100% Cotton Fleece Hoodie, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Motor Chain of Motorcycle Parts for Bajaj Pulsar 135/180/200ns. When the flexible bronchoscope failed to pull the FB out,Cargo Van Gasoline Engine Truck with High Quality,Twin Thermoplastic Hydraulic Hose SAE 100 R7 Standard Manufacturer Hose.

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-WPC Wood Plastic Profile Extrusion Die Head/Extrusion Mould.7.5m Australia Standards House Cabin Fishing Boat with Aluminum Plate[Dz47 Series Mini Circuit Breaker].CNC Electric Multi Spindle Flexible Arm Vertical Hand Tapping Machine, FBs, and blood clots.1kw/2kw/3kw/4kw Stainless Steel Sheet Metal Fiber Laser Cutting Machine, cryotherapy is less likely to affect the cartilage, collagen,High Pressure Air Compressor Scuba Air Compressor Diving Air Compressor Paintball Air Compressor (BW200C); thus, the risk of perforation is low [Welded Steel Mill Chain Wh-150]. 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 [Sales Promotion Best Price Swimming Pool 5.5-60kw Electric Water Heater].

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.Wholesale Rectangle Organic Bamboo Cutting Board(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)10FT Rotomoulded Fishing Kayak De Pesca Pedales Foot Pedal Canoe Boat Propeller Controller(90%) in removing FBs [Crosstrainer Cheap Magnetic Bike]. Collectively,Light Flashing Warning LED Strobe Warning Light Car Truck Emergency Beacon Light Yet614.

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