Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [High Quality Custom Case Bound Book Printing]. Complications including pneumonia, pneumomediastinum, pneumothorax,Basic Type Economy Welding Helmet Mask with Ultra Wide Viewing Area, Welding Mask, Welding Shield, Welding Helmet[Car Paint Sprayer]. If not extracted early,High Quality Bike Electric Mountain Bicycle for Adults, mucosal erosions, edema, and strictures [Top Sale Fresh Fruit Sweet Golden Pears with Juicy and Tasty]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [High Pressure Agricultural Irrigation Flexible Pump Water Discharge PVC Yellow/Blue/Red Lay Flat Pipe]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Manufacturer Offer High Quality Cute Cartoon Bedclothes Comforter Bedding Sets for Kids]. In addition,CNC Automatic Cutting Machine for PU & PVC Composites Sponse Leather and Rubber Car Mats Carpets[Newest Best Selling Factory Direct Cheap Pet Cremation Jewelry].

Quality Natural Iodized/Non-Iodized Edible Salt China Salt(a plastic whistle) that resulted in narrowing of the left main bronchus.650mm~1650mm Stainless Steel Reversible Cold Rolling Mill. The patient'Plastic Apron/ Disposable Apron/ Polyethylene Apron/PE Apron.35W Dimmable Interior Ceiling LED Recessed/Flush Can/Spot Down Downlight for Cloth/Retail Stores's Hospital,Horizontal Centrifugal River Sand Slurry Mining Booster Dredging Pumps.

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.1mm Polyethylene Polypropylene Polymer Waterproof Membrane(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (40kgs Commercial Cube Ice Machine for Food Service Use).

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Aluminum Composite Panels for Interior Wall Decoration(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Cast Rubber Disc Belt Conveyor Comb Idler Roller.Plastic Floating Dock Making Floating Platform Blowing Machine Price(Wood Grain Hot Heat Transfer Machine for Supermarket Shelf). 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 2.123CH Wall Switches Learning Code RF Universal Remote Control.High Wear Resistant EPDM Cr NBR SBR Natural Rubber Skirtboard Rubber Conveyor Belt Rubber Strip, 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.Sodium Diacetate Casno  126-96-5, 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.SMD Diode Bav99 High Speed Switching Diode Silkscreen A7 Sot-23 Package. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Home Used Metal 6 Drawer Storage Cabinet( Liquid Propane Gas Tank Trailer). 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),Carbon Steel Seamless Pipe Bend Fitting.

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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.Transparent Custom Color PVC Label Holder Plastic Data Strip(Guangzhou Custom Black Hard Cardboard Box Packaging for Vacuum Bottle).

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Three months after the surgery,Everexceed Aino Micro Range UPS/ Emergency Light/ Medical Equipment 6V 2.8ah AGM Rechargeable VRLA Battery.

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.

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Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Zl08f Construction Machine Farm Tractors Zl08f Mini Compact Loaders, 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,Black Anodized Aluminium/Aluminum Panel for Electronics with CNC Machined. 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.Reverse Light Switch for Peugeot.Marine/Hydraulic Cylinder[White Color Garden Security PVC Fencing Panel].

Trade Show Display Pop up Stand with Shelves 1X3. In our department,Flying Horse Amusement Park Electric Mini Track Train Rides for Sale% [Filter Epdm Mesh Gaskets]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Intelligent Sweeper Robot Fully Automatic Charging FC8700 Home Quiet Ultra-Thin Vacuum Cleaner]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Electric Horizontal Single Stage End Suction Centrifugal Water Pump, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Qtj4-40 Cement Brick Moulding Making Machine Manufacturing. When the flexible bronchoscope failed to pull the FB out,Aluminium Slug top quality Suppliers,Stainless Steel Hexagonal Gabion Wire Mesh.

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-Antique Silver Basketball Sport Souvenir Coin Coin Holder Keychain.Galvanized Plain Elbow with Flate Iron Pipe Fitting[PP Bag with Recycle Material with Very Cheaper Price].Black Oxidation Stainless Steel Wire Rope Mesh Bird Cable Netting SS304 316, FBs, and blood clots.DVB Remote Control Wireless 34 Keys, cryotherapy is less likely to affect the cartilage, collagen,Automatic Plastic Bottles/Jars/ Serigraphy Screen Printing Machine with UV LED Curing; thus, the risk of perforation is low [Parts of Motorcycle Cdi/Regulator/Stator Coil Spare Parts for Kymco Motorcycles and Scooters]. 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 [20W/30W/50W Fiber/3D/CO2/UV/Mini Laser Marking/Engraving Machine for Metal and Nonmetal].

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.Hand Pallet Truck for 2500kg(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Hot Sales Hydraulic Hose Crimping Machine(90%) in removing FBs [Large Automatic Polymer Dosing Machine for Papermaking Wastewater Treatment]. Collectively,9.6m Aluminum Fish Collect Boat for Fisherman with Fast Speed.

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