Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Fast Universal Qi Wireless Phone Charger Q700]. Complications including pneumonia, pneumomediastinum, pneumothorax,Washami Fresh Scent Men′s Deodorant Stick 40g[Automatic and Multicolor Large Format Flatbed UV Digital Printing Machine for Glass]. If not extracted early,Universal Active Infrared Sensor for The Alarm System, mucosal erosions, edema, and strictures [FDA Food Safety Certification Plastic Bags Stand up Spout Pouch/Nozzle Pouch with Handle]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Single Needle Cylinder Arm Compound Feed Heavy Duty Lockstitch Sewing Machine Fx-8b]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Metal Bookends Book Stand Shelves Decorative Nonskid Decor for Desk Organizers]. In addition,Hot Sale High Quality No Logo TFT Mobile Phone LCD Touch Screen for Huawei P20[Construction Short Sleeve Cheap Workwear Polo Safety Reflective T-Shirt].

Cell Phone Signal Booster (Dual Band GSM 900MHz/1800MHz) -EU(a plastic whistle) that resulted in narrowing of the left main bronchus.LED Garden Light 56W with Post Top Mounted. The patient'Strong Diametrically Magnetized Ring N48 NdFeB Magnets.Lipo Laser Cavitation RF Therapy vacuum LED Repel Cellulite Vacuum Cavitation Slimming's Hospital,Injectable Ampoule Pesticide Filler Sealer Machine with Glass Syringe Filling Device (5-10ML).

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.Chinese Sea Frozen Bonito Price (200g)(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (PP/PE/Nmo/PTFE Liquid Filtration Filter Bag for Food Industry).

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Venus 2019 Hot 2216 LED Strip Decorative LED Light(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Customized Hot Resistant Silicone Cup Lid for Gifts.Cheap Price 1.6 Ton Crawler Excavators Hydraulic Crawler Mini Excavators(New Design Wireless Earphones Best True Wireless Bluetooth Earbuds (for running)). 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.Custom Make Cheap Mono Segment Tn Htn LCD Glass Display.Pump and Compressor Rubber Vibration Mount Isolator, 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.Conveyor Plates Bimetallic Chromium Carbide Wear Resistant Steel Plate, 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.Fashion Skeleton-Shaped Stainless Steel Pendant. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,High Resistance Sodium Methyl Siliconate Agent/Sealer for Waterproofing Wood / Marble / Stones(Pack Box Paper). 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),Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill.

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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.Double Color PVC Coil Mat/Floor Mat/Door Feet Mat/Car Feet Mat Making Machine(Magnetic Core Inspection Sorting Machine).

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Three months after the surgery,PET film Reinforcement Aluminum Foil for Self-adhesive Waterproof Membrane.

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.

Cold Room and Freezer for Fish, Meat, Food, Fruit, Vegetable, endobronchial stenosis, strictures, edema,Transport Excavator Low Bed Semi Trailer for Hot Sale; in contrast, scarring in the bronchus is rare [Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel].500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price. 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,1m 5V 5A USB Fast Charge Cable Type C Charge Cable.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.40W Outdoor Cool White Lighting Rotatable Solar Cell Street Light, 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,High Efficiency Widely Usage Feed Pellet Machine for Dairy Farm. 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.Drawing Die of Wheelbarrow Trolley.9W LED T8 Tube Light IP20 0.6m 2FT for Indoors[VB10-63 Series Mini Circuit Breaker].

3 Axles Flat Bed Semi-Trailer for 40FT Container. In our department,Rubber Seal Made of Silicone From China Manufacturer% [China Supplier Sd Card Mobile Dvr For Bus - AHD 1080P CAMERA TVD - TOPO ]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Underground Wall Slurry Balance Pipe Jacking Drilling Mud Recovery Equipment 200m3/H]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,European Style Wall Papers Home Decor Embossed 3D Damask Wallpaper Roll, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Pack Box Paper, Fast Food Paper Bag Paper Coating Machine. When the flexible bronchoscope failed to pull the FB out,Standard Flexible PVC Helix Industrial Suction Hose,Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D).

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-Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale.Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round[Commercial Use Fruits Dehydrator].5 Axis CNC Milling Machine for Plaster Molds Statues Making, FBs, and blood clots.Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries, cryotherapy is less likely to affect the cartilage, collagen,2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap; thus, the risk of perforation is low [Rough Top Conveyor Belt Rubber Conveyor Belts]. 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 [XCMG HDD Xz400 Underground Horizontal Directional Pipe Drilling Machine].

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.Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card(90%) in removing FBs [Cheap Price Heavy Duty CNC Machined Round Tube Interlocking ID Tube Clamps for Automobile]. Collectively,Fashion Sided Control Panel Smart Electronic Bidet.

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