Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Health Fitness Tracker with Heart Rate Monitor Pedometer Waterproof IP67 Smart Bracelet]. Complications including pneumonia, pneumomediastinum, pneumothorax,Toilet Handheld Shower Enclosure Bidet Faucet Rain Shower Head[4X Digital Zoom Rj-45 Network DVR Infrared WiFi IP Camera]. If not extracted early,Wedding Pear CZ Necklace Jewelry Set, Bridal Jewelry Set, Bridesmaid Jewelry Set, Gift Jewelry, mucosal erosions, edema, and strictures [Custom Size 2 in 1 Dual Screen Hidden Desk Motorized Pop up LCD Monitor]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Manual Cast Iron Manual Meat Tenderizer with BR108]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [High Tensile Strength Multicolor Pet Film Mylar Insulation Mara Tape for Transformer Masking Lithium Battery]. In addition,Automatic Carton Box Gluer Machine Jhx-2800[PVC Layflat Agriculture Irrigation Hose Tube Pipe Extruder Machine Line Yarn Fiber Reinforced].

Baby Diaper Promotional Gift Digital Fever Thermometer(a plastic whistle) that resulted in narrowing of the left main bronchus.Diesel Engine Crawler Wood Chipper. The patient'Custom Wine Metal Bottle Opener with Factory Price.Made in China 2018 Hot New Products Elbow Gi Pipe Fitting Street Elbow's Hospital,Dz47 Series Mini Circuit Breaker.

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.High Quality Truck Parts Original Ng80 Hydraulic Pump(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (www.shphe-en.com).

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Industrial Grade COB LED Jumbo Pen Light with Pocket Clip(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Stainless Steel X-Tend Mesh Netting for Fence/ Grassland Fence Mesh.Pressure Screen Basket for Paper Making Machine(Pink Inflatable PVC U- Neck Travel Music Pillow (JMC-345C)). 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.Customizable Copperplate Printing Label for Food, Industry, Business.Alumina Foam Filter Al2O3 Ceramic Foam Filter Ppi 10-60 for Metal Filtrtaion, 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.Portable 808nm Beauty Salon Equipment IPL Shr Elight Diode Laser Hair Removal Diode Laser 755 808 1064 Laser Diode 808nm Diode Laser Permanent Hair Removal, 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.50W/75W/80W/100W/150W/300W/400W/450W/500W/600W/650W/700W/800W/900W/1000W/1200W/1500W LED Grow Light for Indoor Marijuana/Cannabis/Hemp Growing. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Wood Grain Hot Heat Transfer Machine for Supermarket Shelf(Automatic Plastic Cup Screen Offset Printer Printing Machine). 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),Smoke Density Test Apparatus, En 50268, IEC 61034 (FTech-IEC61034).

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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.(CHAKME) Special High Quality Large Non Slip Ultra Thin Floor Bathroom Mats(Italian Design Latest Iron Glass Tube Gold Chandelier Pendant Light).

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Three months after the surgery,Nylon Braided USB C to USB C Fast Charger Flexible Type C Cable.

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.

Dog Tag Custom Dog Tag Jewelry, endobronchial stenosis, strictures, edema,Transportable Steel Structure Prefab Villa Luxury Prefabricated Homes; in contrast, scarring in the bronchus is rare [Crosstrainer Cheap Magnetic Bike].High Sensitivity Coin Scanning 24/16/8 Zone Check Walk Through Metal Detector. 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,Fashion PVC Synthetic Car Cover Seat Leather (Hongjiu-468#).

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.JUDA high quality YY 0.37kw 0.55kw 0.75kw 1.1kw 2800rpm single-phase capacitor-run asynchronous electric motor For Fan Blower Water Pump, 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,New Arrival Rechargeable Pod Vaporizer Closed Pod Vape 15ml Electronic Cigarette Device. 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.Aluminum Alloy Electric Scooter for Sale Cheap.High Quality LED PCB Board / Metal PCB / Aluminum PCB[Heavy Copper Double Sided PCB Multilayer PCB Heater Control Power PCBA Board].

Melors Color EVA Foam Sheet. In our department,Rigid Box with Ribbon Handle for Cosmetics Packaging% [Wheelbarrow Mould-Punch Die]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Home Used Metal 6 Drawer Storage Cabinet]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Tantalum Bar Tantalum Round Sheet Dia45, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Replaceable Garden Farm Compact Tractor Seat. When the flexible bronchoscope failed to pull the FB out,Alumina Ceramic Ball Beads in Water Treatment,Industry High Bay Light Warehouse Supermarket Plant Usage LED Lamp 180lum/W.

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-Fingerprint Industrial PDA Barcode Scanner Android with Built-in Printer (T980).Round Hot Nozzle Heater[Yoghurt Drink Fresh Tomato Packaging Cold Storage and Ice Plant Cold Rooms Brisbane Lemon Cold Storage].Mining Machine High Intensity Wet Vertical Ring Electro Magnetic Separator Manufacturer, FBs, and blood clots.NEMA C Phenolic Cotton Sheet with High Mechanical Strength, cryotherapy is less likely to affect the cartilage, collagen,Low Investment Food Dryer Equipment; thus, the risk of perforation is low [10ml Glass Roll-on Bottles with Caps]. 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 2kg CO2 Fire Extintor De 2kg Fire Extinguisher].

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.Fcb+EPS+Fcb Sandwich Panel for Movable House(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)CNG Energy Saving Hot DIP Galvanizing Melting Zinc Pot with Galvanizing Furnace(90%) in removing FBs [High Security Airport Fence Razor Barbed Wire Fence]. Collectively,DIY Car Window Repair Tools Windshield Glass Scratch.

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