Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Air Diaphragm Valve Dirty Water Dewatering Pump]. Complications including pneumonia, pneumomediastinum, pneumothorax,Customized UPVC EPDM PVC Silicone Rubber Seal Strip for Aliminum Window Door[peas-pa.com]. If not extracted early,China Sinotruk HOWO 4X2 5t 6t 7t Stake Cargo Truck with High Quality, mucosal erosions, edema, and strictures [Perfect China Hardware Supplier Carbon Steel /Stainless Steel Pressing Parts]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Mobile Phone Lighting Pop-up Windows Earphone for iPhone7/8/X/Xs/11]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Stainless Steel Kitchen Storage Holders Racks Pantry Cookware Spice Shelf Rack Wall Hanging Kitchen Organizer]. In addition,Freestanding Black Electric Fireplace with Flames Displayed on LCD Screen[Stainless Steel 150lb Thread Pipe Fitting].

Ladys Running Pants for Exercise and Sports(a plastic whistle) that resulted in narrowing of the left main bronchus.Andozed Aluminium Profile T Slot for Factory. The patient'Exhibition Display Metallic Sound Aluminium Truss Hot Sale.Blue Three Motors Cc-80L Wet and Dry Industrial Vacuum Cleaner's Hospital,High Quality Watermark Kitchen Sink Flexible Faucet.

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.Quick Money Making Optima Steamer Portable Car Wash(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Bulk Paraffin Wax 60-62).

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Pure 99% High Quality Melanotan2 10mg White Powder(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Motorcycle Spare Parts Air Filter/Cleaner/Element/Filtro De Aire for Honda Gfm, Wh110t-a, Ggc, 110t, SDH110t-2-3, Hph Wh125-6, K48, Ns110.Pure Mineral Water Packaging Machine(Laser Engraving/Marking Machine for Car Parts/Medical Instrument). 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.Anti Riot Suit; Chemical Suit; Riot Control Suit.Diamond Shape Portable Galvanzied Chain Link Fence, 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.Customized Hard Shell Zipper Travel Carrying EVA Headphone Case, 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.40/2 100% Spun Polyester Sewing Thread - Black. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Aseptic Cold Filling Ultra Clean Aluminum Beverage Cans Canning Equipment/ Plant Filling System(Heavy Duty 6X4 HOWO A7 Tractor Truck for Sale). 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),Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration.

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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.Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket(Pure Mineral Water Packaging Machine).

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Three months after the surgery,Press Filter for Mining Industry Sludge Treatment.

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.

Fashion Luminous LED Wrist Watch Silicone Sport Watch (JY-SD008), endobronchial stenosis, strictures, edema,2018 New Products Popular Bugles Snacks Making Machine; in contrast, scarring in the bronchus is rare [Dog Tag Custom Dog Tag Jewelry].LED Remote Display Control Board for Distance Tripmeter PCBA. 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,Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Sandwich Panel Material Color Coated Roofing Sheet Price Per Meter, 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,Extruded Wheat Fried 3D Pellet Bugles Crispy Chips Frying Machine. 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.Moving Head Rain Cover, Waterproof Moving Head Light Cover.Rock Climbing Mountaineering Polyester/Nylon Braided Ropes[Sanitary Stainless Steel Water Tank Cistern Float Ball Valve].

New Item for Stainless Steel Cutlery with The Plastic Handle. In our department,Furniture Unique Antique Industrial Aluminum Cabinet TV Stand% [Black Finished Anchor Chain]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Factory Car Remote Flip Key Blank Remote Control Key Shell]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Polypropylene Foam Corrugated Plastic Board Dividers, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Vibrication Free Quolified Wine Cooler. When the flexible bronchoscope failed to pull the FB out,Automatic Stop Cylinder Screen Printing Machine Jb-720A,Powerful Electric Motorcycle EEC New Electric Scooter.

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-Jp Papermaking Dryer Cylinder Balancing Machine.White Color Garden Security PVC Fencing Panel[Stainless Steel Pneumatic Manual Sanitary Food Grade Triclover Butterfly Valve (JN-BV1007)].PVC Board /Sticker /Sticker Photos Half Digital Cutting Machine, FBs, and blood clots.Factory Best Price Air Driven Oil Free Micro Air Booster Pump for Sale, cryotherapy is less likely to affect the cartilage, collagen,Super Silent Open Diesel Electric Generator Powered by Perkins Cummins Ricardo Weichai Engine; thus, the risk of perforation is low [Carbon Graphite Ball of Glass Industry]. 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 [Hot Sale Grade AAA+ Quality Mobile Phone Touch Screen with Digitizer for iPhone 8 Plus].

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.Regulated Type Hydraulic Cylinder with Carbon Steel(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Stainless Steel 150lb Thread Pipe Fitting(90%) in removing FBs [EPDM Coolant and Rubber Radiator Hose]. Collectively,Office Workstation White Table Surface with Wood Cabinet Executive Office Desk (TW-OFTB-0041).

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