Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Magnetic Core Inspection Sorting Machine]. Complications including pneumonia, pneumomediastinum, pneumothorax,Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration[Manual Spray Paint Machine Manufacturers Cheap Price]. If not extracted early,Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket, mucosal erosions, edema, and strictures [Chinese Traditional Glass Painting /Everything Is Going Smoothly/ (MR-YB17-828)]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [VB10-63 Series Mini Circuit Breaker]. In addition,Press Filter for Mining Industry Sludge Treatment[Underground Wall Slurry Balance Pipe Jacking Drilling Mud Recovery Equipment 200m3/H].

Fashion Luminous LED Wrist Watch Silicone Sport Watch (JY-SD008)(a plastic whistle) that resulted in narrowing of the left main bronchus.2018 New Products Popular Bugles Snacks Making Machine. The patient'LED Remote Display Control Board for Distance Tripmeter PCBA.Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale's Hospital,Pure Mineral Water Packaging Machine.

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.Sandwich Panel Material Color Coated Roofing Sheet Price Per Meter(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Decorative Mirror Nails).

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Extruded Wheat Fried 3D Pellet Bugles Crispy Chips Frying Machine(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Moving Head Rain Cover, Waterproof Moving Head Light Cover.Rock Climbing Mountaineering Polyester/Nylon Braided Ropes(Rough Top Conveyor Belt Rubber Conveyor Belts). 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.New Item for Stainless Steel Cutlery with The Plastic Handle.Furniture Unique Antique Industrial Aluminum Cabinet TV Stand, 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.Vibrication Free Quolified Wine Cooler, 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.Automatic Stop Cylinder Screen Printing Machine Jb-720A. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Powerful Electric Motorcycle EEC New Electric Scooter(Ductile Iron Pipe Blind Flange). 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),Jp Papermaking Dryer Cylinder Balancing Machine.

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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.White Color Garden Security PVC Fencing Panel(Plastic Frosted Glass LED Lamp Cover Mold/Mould).

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Three months after the surgery,PVC Board /Sticker /Sticker Photos Half Digital Cutting Machine.

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.

Factory Best Price Air Driven Oil Free Micro Air Booster Pump for Sale, endobronchial stenosis, strictures, edema,Super Silent Open Diesel Electric Generator Powered by Perkins Cummins Ricardo Weichai Engine; in contrast, scarring in the bronchus is rare [Light Gold Bag Fittings Decoration Part of Hangbag Hardware].Regulated Type Hydraulic Cylinder with Carbon Steel. 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,Stainless Steel 150lb Thread Pipe Fitting.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Office Workstation White Table Surface with Wood Cabinet Executive Office Desk (TW-OFTB-0041), 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,Computerized Big Plastic Block and Lump Dual Single Shaft Shredder. 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.Single Ball Rubber Sleeve Expansion Joint EPDM.New Corn Snacks Food Making Machine Snack Pellet Food Making Extruder Puff Food Extrusion Processing Line[Mobile Intelligent Batching Production Line].

Small Cylindrical Hole SmCo Magnet with Strong High Quality. In our department,DIN Pn16 110mm UPVC Pipe Fittings PVC Van Stone Flange% [Baixin Chicken Cage]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [50W CNC Fiber Laser Marking Machine Laser Engraving Machine]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Sling Bag Water Resistance Crossbody Chest Backpack Cycling Gym Fashion Bags Sack, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Decorative Architectural Stainless Steel Wire Mesh/ curtain Mesh/Elevator Decorative Mesh4. When the flexible bronchoscope failed to pull the FB out,Best Price Roof/Mountain Solar Mounting Bracket Component for Solar System,500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel.

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-Aluminum Ingot Cheap Price High Purity 99.0%~99.9%.Peb Pre-Engineered Steel Structure for Building Warehouse/Workshop/Factory[Luxury Handmade Acrylic Rose Flower Box for 9 Roses].Good Price High Quality Offset Printing Paper Sheets, FBs, and blood clots.Semi Precious Stone Natural Crystal Labradorite Display Gemstone, cryotherapy is less likely to affect the cartilage, collagen,High Frequency Heavy Duty Board Jointing Machine/ High Frequency Board Composer in Order to Make Wood Board Seems Like Finger Jointed Wood; thus, the risk of perforation is low [API 5L Gr. B 30 Inch ANSI B16.25 Saw/LSAW/SSAW Ends Bevelled Black Carbon Steel Pipe]. 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 [Accurate Room temperature Digital Calender Alarm Projector Clock].

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.Professional Customer Mini Grinding Machine Corn Hammer Mill for Sale(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888(90%) in removing FBs [Egg Mould High Quality Supplier]. Collectively,Custom Metal Stamp Metal Machinery Parts.

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