Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [China Hydraulic Station Suppliers Provide Multiple Models Hydraulic Power System Hydraulic Motor Hydraulic Station and a Variety of Hydraulic Valves]. Complications including pneumonia, pneumomediastinum, pneumothorax,Cable DIN Rail Terminal Block[Belt Drivenreciprocating Air Compressor]. If not extracted early,Factory Price 40W Smart Solar Street Light, mucosal erosions, edema, and strictures [Top Computerized Medical Control Volumetric Infusion Pump (THR-IP100 I)]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Poster Printing Bright White Matte Coated Inkjet Photo Paper 108GSM]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [3/4 Garden Irrigation System POM Plastic Sprinkler]. In addition,Pharmaceutical Automatic Powder Filling Capsule Machine Size 0[High Wear Resistant EPDM Cr NBR SBR Natural Rubber Skirtboard Rubber Conveyor Belt Rubber Strip].

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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.Marine Industrial V Line Glass Mechanical Temperature Gauge(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Heavy Duty Canvas Tote Handbag Bags).

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Best Selling Cheap Computer Printing Paper - 2(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Automatic Disposable Tableware Packaging Machine Production Line Equipment.304 Stainless Steel 1/4 Cleaning Flat Fan Air Steam Spray Nozzle(Model Qt10-15 Circular Knitting Machine New Technology Brick Making Machines). 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.Plastic PVC WPC Powder Hot and Cool Mixer.Knock Down Mobile Unique Computer Table (HX-8NE039), 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.Polished Bright AISI 304 Seamless Stainless Steel Tube, 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.0.5 Ton 1 Ton 2 Ton 3 Ton 5 Ton 8 Ton 10 Ton 15 Ton 16 Ton 20 Ton Electric Hoist. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,High Quality Aluminium Die Forging for Auto Parts(RO Machine Spare Parts Reverse Osmosis Membrane 4040 8040 for Water Treatment Plant). 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),Trottinette Electrique 1000W Adult Green Power Electric Scooter Lithium.

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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.Self Lock Epoxy Coated Stainless Steel Cable Tie with Tie Tool(High Precision CNC Machining Anodizing Aluminum Parts).

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Three months after the surgery,150d Recycled Polyester Oxford.

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.

30-100W Crystalline Solar Powered LED Outdoor Area/Street Lamp, endobronchial stenosis, strictures, edema,Custom Ladies Perspex Pumps Sexy Women Party High Heels Shoes; in contrast, scarring in the bronchus is rare [Fashion Genuine Leather Bag Handbag for Ladies].Hydraulic CNC Press Brake Machine with Tooling Mould Holder Dies Blades Foot Pedals Switch and Multi V Block. 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,Linear Motion Guide Various Models Linear Guide Ball Screw Drawer Slide Rail.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Commerical Bakery Cake Display Cooler with Ce, CB, Saso, 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,Handheld Car Vacuum Cleaner DC 12V 120W Mini. 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.Rectangular Shape PVC Material Custom Clear Plastic Table Cover.High Torque Electrical DC Stepping Motor for Monitor/Oven/Printer[New Home Office Workout Ab Abdominal Trainer Exercise Wheel].

925 Sterling Silver Mini Stud Earrings with Heart Style for 2017 Canton Fair. In our department,Ocean Star Arcade Shooting Electric Fishing Game Machine% [Rigging Hardware Self-Color Carbon Steel D Ring]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Nash Pump Part for Stainless Steel for Oil]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Large Load Capacity Multifunctional Ratchet Tie Down Lashing Straps, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,2.5mm/2.5 Stereo Plug W/Cable Protect, Audio Jack, 6.35mm/6.35, RCA/TV/AV/Audio Plug. When the flexible bronchoscope failed to pull the FB out,Laser Welding Machine for Goldsmiths,Iron Aluminum Copper Carbon Stainless Steel Metal 1500X3000mm Fiber Laser Cutting Machine.

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-Custom High Quality Logo Printed Adhesive Tape Packing Paper Bopptape.Square Funny Trampoline Playground for Kids Play (HD-15101)[China MIG Welding Consumable Manufacturer CO2 Gas Shielded Welding Wire Er70s-6].Green 128V-03pin Pitch 5.0mm7.5 European Type Connector, FBs, and blood clots.T4 SMD Pick and Place Machine, cryotherapy is less likely to affect the cartilage, collagen,High Precision CNC Machining Anodizing Aluminum Parts; thus, the risk of perforation is low [High Resistance Sodium Methyl Siliconate Agent/Sealer for Waterproofing Wood / Marble / Stones]. 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 [IP44 15W 20W 25W Anti Glare Aluminum COB LED Down Ceiling Spotlight Light].

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.Tactical Military Hunting Camping Waterproof Coat Softshell Jacket(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Silicone Reflective Bracelets RFID Slapband with Flexible Stainless Steel(90%) in removing FBs [Customized Gear]. Collectively,Stainless Steel Bulk 14K/18K Small Gold Hoop Circle Drop/Eardrop Earrings Jewelry Manufacturer Indian Gold Plated Earrings.

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