Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [7.5m Australia Standards House Cabin Fishing Boat with Aluminum Plate]. Complications including pneumonia, pneumomediastinum, pneumothorax,High Quality 25W 30W 35W COB LED Wall Washer Track Light with Dimmable[Portable Battery Jump Starter Ebay]. If not extracted early,Factory Supply Best Quality Pem Ozone Generator for Air Space Disinfection, mucosal erosions, edema, and strictures [Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Building Material Spc Vinyl Floor Laminate Flooring Manufacturer for Interior Decoration]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [10g 100g Ozone Tube Ozonizer Parts]. In addition,Cast Iron Bistro Table Base Vintage Fancy Table Leg[Cell Phone Signal Booster (Dual Band GSM 900MHz/1800MHz) -EU].

High Quality Custom Metal Keyring Bottle Opener (Ele-BO018)(a plastic whistle) that resulted in narrowing of the left main bronchus.2.0MP 1080P HD 3G 4G SIM Card WiFi Wireless CCTV IP Camera with Bulit in Battery P2p Network Video Home Security. The patient'Light Duty Metal Pegboard Counter Top Cell Phone Accessory Display Stand with Hooks.Cp Series Block Fully Welded Plate Heat Exchanger Instead of Gasket Heat Exchanger's Hospital,Molybdenum Glass Melting Electrode with Male and Female Threads.

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.Shanghai Fengjing Electrostatic Precipitator Smoke Purification for Commercial Kitchen/Hotel Gas Purification System(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (China Professional Art Drawing Sketchbook).

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PP Filter Cartridge Filter 5 Micron Sedimentos Filter Membrane Millipore Pleated Membrane 02 Um Home Water Treatment and Filter Watertreatment Pharmaceutical(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Pneumatic Three Head Woodwork CNC Engraving Cutting Machine.8 Hours Warm Portable Hand Warmer(Promotional Polyester Children Thermal Insulated Office Cooler Lunch Bag). 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.Chinese Modern Outdoor Garden Livingroom furniture Aluminum Modular Lounge Corner Sofa Set.Hongri Boron 65mn Steel More Durable Disc Blade Disk for Agricultural Tractor Harrow Plough, 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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Fancy Crystal Whiskey Glass Drinking Glass Cup(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Filler Masterbatch Making Extruder with Capacity 300kg Per Hour, 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.The Best Material for Building, PPGI/PPGL Steel Coil/Sheet. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Top Quality Wear-Resisting Submersible Vertical Industrial Coal Mining Dredge Portable Concrete Slurry Centrifugal Water Pump(High Glossy PVC Wall Panel for Bathroom Ceiling Panel). 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),Sturdy Luxury Garden Swing Garden Hammock.

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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.Casual Ultra Lightweight Knit Fashion Sport Shoes for Men Women(Fashion Retail Wooden Store Fixture with Drawers for Shoes).

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Three months after the surgery,Hot Selling Red Wine Glass for Hotel and Restaurant.

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.

Natural Polished French Beige Marble for Wall Table Countertop Floor Bathroom Kitchen, endobronchial stenosis, strictures, edema,Motion Detection Car Wireless Camera WiFi Car Camera Car Night Vision Camera HD Portable Video Recorder Car DVR Dash Cam Car Camera; in contrast, scarring in the bronchus is rare [2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888].Top Selling Rectangular Frames Cp Injection Plastic Sunglasses. 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,12-96 Core Fiber Optic Splice Closure Optical Fiber Joint Box.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.XCMG HDD Xz400 Underground Horizontal Directional Pipe Drilling Machine, 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,Cheap Electric Fireplace Insert Heater Free Standing Fireplace Mantel MDF Wood. 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.11.0mm Concrete Wire Saw/Diamond Wire Saw/Diamond Tool.Food Additive CAS 121-33-5 Vanillin 99.8%[Cheap Electric Fireplace Insert Heater Free Standing Fireplace Mantel MDF Wood].

BOPP Transparent Hot Melt Packaging Tape for Machine. In our department,High Quality Granite Cube Stone/Cobble Stone with Cheap Price% [Inflatable Advertising Lighting Column with Logo (BMDC338)]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [3.2mm Hot Sale Super Clear Photovoltaic Glass]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Football Team Scarf for Fans Cheering, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,7 Truck Reverse Camera Safety System for Train, Tractor, Police Cars, Excavator. When the flexible bronchoscope failed to pull the FB out,Manufacture Waterproof 120W LED High Bay Light with Dlc Listed,Mobile Sport Twins Mini Earbud Stereo Bt Wireless Earbuds for iPhone Earphone I7 Tws I7s.

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-Hot Galvanized Solar Engergy PV Mounting Support Structure.First Class Tungsten Copper Foil, Tungsten Copper Sheet, Tungsten Copper Plate[USB 100ml Aroma Therapy Ball Humidifier Ultrasonic Oil Diffuser].China Large Size 3D Printer Full Enclosed Metal Framework 600X600X600 mm Printing Size 3D Printer Larger D600, FBs, and blood clots.Light Gold Bag Fittings Decoration Part of Hangbag Hardware, cryotherapy is less likely to affect the cartilage, collagen,Customize Luxury Packaging Handmade Wine Box PU Leather; thus, the risk of perforation is low [1/2′′ High Quality High Pressure PVC UPVC Ball Valve]. 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 [Nichrome Wire Mesh Screen for Desalination Instruments].

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.Thick Pull up Fitness Custom Logo Resistance Loop Bands(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)China Quanfu Multi-Color PC Plastic X-Structure Sheet for Covering(90%) in removing FBs [m.abotled.com]. Collectively,Outdoor Cooker Wood-Burning Stove Camping & Hiking Products Stove.

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