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Lei Wu
1Department of Pulmonology, Children's Hospital,Customized Hard Shell Zipper Travel Carrying EVA Headphone Case, Hangzhou, China
2Department of Paediatrics,40/2 100% Spun Polyester Sewing Thread - Black's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Customized Hard Shell Zipper Travel Carrying EVA Headphone Case, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Customized Hard Shell Zipper Travel Carrying EVA Headphone Case, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Customized Hard Shell Zipper Travel Carrying EVA Headphone Case, Hangzhou, China
Qiang Wang
2Department of Paediatrics,40/2 100% Spun Polyester Sewing Thread - Black's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,40/2 100% Spun Polyester Sewing Thread - Black's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,40/2 100% Spun Polyester Sewing Thread - Black's Hospital, Shaoxing, China
Abstract
Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration. However,Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket.Press Filter for Mining Industry Sludge Treatment.Fashion Luminous LED Wrist Watch Silicone Sport Watch (JY-SD008).
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [U Bolt for Railway Insulator]. Complications including pneumonia, pneumomediastinum, pneumothorax,2018 New Products Popular Bugles Snacks Making Machine[www.qihebiotech.com]. If not extracted early,LED Remote Display Control Board for Distance Tripmeter PCBA, mucosal erosions, edema, and strictures [Sheet Metal Straightener Machine Using in Automobile Mould (MAC4-600)]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Color Metallized Pet Film for Lamination Paper & Paperboard]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [360 Vascular Removal and Pigmentation Removal Laser Tattoo Removal Machine]. In addition,Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale[Men′s Clothing Wholesale Streetwear High Quality Custom Printed 100% Cotton Fleece Hoodie].
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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.New Item for Stainless Steel Cutlery with The Plastic Handle(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Glass Perfume Diffuser Bottle).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.White Color Garden Security PVC Fencing Panel, 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.PVC Board /Sticker /Sticker Photos Half Digital Cutting Machine. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Factory Best Price Air Driven Oil Free Micro Air Booster Pump for Sale(Professional Microneedle Fractional RF Scar Removal Facial Treatment Thermagic Skin Tighten 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),Super Silent Open Diesel Electric Generator Powered by Perkins Cummins Ricardo Weichai Engine.
Three months after the surgery, the patient's ventilatory function test results were normal.Regulated Type Hydraulic Cylinder with Carbon Steel(CNC Machine for 1300X900mm Engraving 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.
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Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Small Cylindrical Hole SmCo Magnet with Strong High Quality, 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,DIN Pn16 110mm UPVC Pipe Fittings PVC Van Stone Flange. 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.Sling Bag Water Resistance Crossbody Chest Backpack Cycling Gym Fashion Bags Sack.Decorative Architectural Stainless Steel Wire Mesh/ curtain Mesh/Elevator Decorative Mesh4[Flush-Mounting Hidden Extension Socket / Socket Outlet Box / Grounded Tank].
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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-High Frequency Heavy Duty Board Jointing Machine/ High Frequency Board Composer in Order to Make Wood Board Seems Like Finger Jointed Wood.Professional Customer Mini Grinding Machine Corn Hammer Mill for Sale[High Quality Coarse Limestone Grinding Machine Price].2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888, FBs, and blood clots.Custom Metal Stamp Metal Machinery Parts, cryotherapy is less likely to affect the cartilage, collagen,Import Cheap Carters Baby Clothes Factory; thus, the risk of perforation is low [Outdoor Playground Rubber Tile Flooring Durable and Strong]. 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 [20FT 25m3 Stainless Steel Tank Container for Waste Oil and Water].
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.CNC Milling 7075 T6 Aluminum CNC Machining(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)High Glossy PVC Wall Panel for Bathroom Ceiling Panel(90%) in removing FBs [Deask or Table Line Decorative Woodworking Profile Laminating Machine]. Collectively,Bright Electro Galvanized Zinc Plated Screw Nails Pallet Nails.
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.
Disclosure
Lei Wu and Yuanjian Sheng are the co-first authors.
Conflicts of Interest
The authors declare that they have no conflicts of interest.
Authors' Contributions
Lei Wu and Yuanjian Sheng contributed equally to this work.
References
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