Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [ PTFE Gasket]. Complications including pneumonia, pneumomediastinum, pneumothorax,3 Axles Flat Bed Semi-Trailer for 40FT Container[Cactus Beer Can Cooler Holder]. If not extracted early,Rubber Seal Made of Silicone From China Manufacturer, mucosal erosions, edema, and strictures [Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D)]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Press Filter for Mining Industry Sludge Treatment]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Wholesale Soft Sole Breathable Men Running Sport Shoes Safety Shoes]. In addition,European Style Wall Papers Home Decor Embossed 3D Damask Wallpaper Roll[80X80mm Cold Deformed AISI 304 304L Stainless Steel Angles].

Pack Box Paper, Fast Food Paper Bag Paper Coating Machine(a plastic whistle) that resulted in narrowing of the left main bronchus.Standard Flexible PVC Helix Industrial Suction Hose. The patient'Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D).Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale's Hospital,Transport Excavator Low Bed Semi Trailer for Hot Sale.

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.Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (PVC PP PC Corrugated Sheet Production Line / Roofing Sheet Extrusion Machine).

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5 Axis CNC Milling Machine for Plaster Molds Statues Making(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries.2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap(Amusement Park Fast Ball Cleaning Machine for Indoor Playground). 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.Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven.Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card, 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.50W CNC Fiber Laser Marking Machine Laser Engraving Machine, 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.Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Zinc Plated Flat Big Head Clout Nail for Roofing( Water Supply) Equal Coupling Pn16). 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),2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%.

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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.Luda Concrete Bitumen Mixing Plant From 80t/H to 320t/H for Sale(4000L/H Factory Sale Water Filter Machine for Farm Irrigation System).

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Three months after the surgery,Performance Multiple Steel Pipe Bending.

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.

Rough Top Conveyor Belt Rubber Conveyor Belts, endobronchial stenosis, strictures, edema,Open Cell EPDM Sponge Foam Sheet for the Gasket; in contrast, scarring in the bronchus is rare [Portal Low Beach Camp Chair Folding Compact Picnic Concert Festival Chair with Carry Bag].Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls. 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,13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Nail Polish Machine Set with 6 Acrylic Gel Remover Pedicure Tools Nail Art, 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,Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel. 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.Metal Cleaning Wet Sand Blasting Machine Water Sandblasting Machine.PP Bag with Recycle Material with Very Cheaper Price[2.0MP 1080P HD 3G 4G SIM Card WiFi Wireless CCTV IP Camera with Bulit in Battery P2p Network Video Home Security].

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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-Granular Packing Machine for Popcorn/ Biscuit/Cornmeal/ Sugar/ Fruit/Nuts/Peanut.No Pedals Kids Balance Bike / Baby Running Bike / Children Walking Balance Bicycle 12inch Customizable Color Balance Cars[10FT Rotomoulded Fishing Kayak De Pesca Pedales Foot Pedal Canoe Boat Propeller Controller].Sanki China Adblue Water Tank, FBs, and blood clots.U Shape Car Door Plastic Extrusion Profile, cryotherapy is less likely to affect the cartilage, collagen,FTP CAT6A Keystone Jack for Network Cable RJ45 Keystone Jack; thus, the risk of perforation is low [12mm Steel Coil Staighten and Cut to Length Line]. 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 [High Quality Leakage Residual Current Circuit Breaker].

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.High End Brown Crocodile Grain Leather Laptop Bag Briefcase for Men(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Waterproof Fiberglass Pleated Fly Screen Plisse Insect Screen Mesh(90%) in removing FBs [Custom Injection Plastic Molding]. Collectively,Nash Pump Part for Stainless Steel for Oil.

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