Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [The Best Material for Building]. Complications including pneumonia, pneumomediastinum, pneumothorax,One Color EVA Plastic Foaming Shoes Slipper Sandal Molding Machine[Beautiful Bedroom Photo Mural Wallpaper 3D]. If not extracted early,High Pressure Agricultural Irrigation Flexible Pump Water Discharge PVC Yellow/Blue/Red Lay Flat Pipe, mucosal erosions, edema, and strictures [Cylindrical Glass Ceramic Tiki Mug Cup with Character Letters]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Long Sleeves Top Wear and Tight Leggings Fitness and Yoga Clothes]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Cast Rubber Disc Belt Conveyor Comb Idler Roller]. In addition,10.4 Inch All-in-One Fanless Embedded Industrial Touch Panel PC Wince 6.0 Tablet PC[2018 304 316 316L Seamless Stainless Steel Pipe].

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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.Electric Luxury Foot Massage Manicure Pedicure SPA Chair(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Shaft Assembly).

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AC90 Aluminum Alloy Conductor Interlocked Armoured Cable(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Hot Energy Saving Vertical Preheater for Magnesium Product Line.Manufacturer Offer High Quality Cute Cartoon Bedclothes Comforter Bedding Sets for Kids(Household Appliance Plastic Housing Injection Mold). 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.Fashion Jewelry 925 Silver Brooch with Freshwater Pearl for Women/Girl/Kids.Metal Parts Powder Coating Production Line Supplier From China, 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.Big Size Notebook Edp LCD Display Screen for TV, Laptop, 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.Cystoscopy Urology Endoscope Hospital Equipment Cystoscopy Urology Surgical Instruments Endoscope Camera. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Snapmaker High Quality Metal 3D Printer /3D Printer Machine(Light Duty Metal Pegboard Counter Top Cell Phone Accessory Display Stand with Hooks). 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),High Hardness 20mm to 150mm Forged Grinding Steel Balls.

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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.Gold Supplier Epoxy Resin Injection Machine(Alcohol/Ethanol Distillation Equipment Manufacturers).

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Three months after the surgery,Gypsum Block Making Machine for Interior Decoration.

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.

Mining Lamp Charger with 4.56V DC Output Voltage, endobronchial stenosis, strictures, edema,Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags; in contrast, scarring in the bronchus is rare [500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price].with Ipex WiFi PCB 2.4GHz Antennas (GKA-WiFi-246) WiFi Antenna. 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,COB LED Street Light Cover Mlt-Slh-as-I.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Shenzhen 1-20 Layer Rigid PCB Electronics Manufacturing, 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,China Factory Sell Ck350 CNC Pipe Threading Lathe. 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.Diamond Saw Blade for Cutting Granite, Marble, Concrete, Asphalt, Wall, Stone, Ceramic.Waste Oil Recycling Machine/Used Oil Recycling /Oil Refining Plant[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].

Factory Price Fashion Double Layer Reversible Umbrella, Nice Inverted Umbrella for Gift. In our department,Men′s Clothing Wholesale Streetwear High Quality Custom Printed 100% Cotton Fleece Hoodie% [SPCC T3-T5]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Commercial Promotion Showcase Cooler with Glass Door for Beverage LG-430f]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Motor Chain of Motorcycle Parts for Bajaj Pulsar 135/180/200ns, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Cargo Van Gasoline Engine Truck with High Quality. When the flexible bronchoscope failed to pull the FB out,Twin Thermoplastic Hydraulic Hose SAE 100 R7 Standard Manufacturer Hose,WPC Wood Plastic Profile Extrusion Die Head/Extrusion Mould.

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-7.5m Australia Standards House Cabin Fishing Boat with Aluminum Plate.CNC Electric Multi Spindle Flexible Arm Vertical Hand Tapping Machine[4 Layers Electronic PCB/Printed Circuit Board with Enig PCB Prototype].1kw/2kw/3kw/4kw Stainless Steel Sheet Metal Fiber Laser Cutting Machine, FBs, and blood clots.High Pressure Air Compressor Scuba Air Compressor Diving Air Compressor Paintball Air Compressor (BW200C), cryotherapy is less likely to affect the cartilage, collagen,Wholesale Rectangle Organic Bamboo Cutting Board; thus, the risk of perforation is low [Flexible Skid Resistant PVC Lvt Click Luxury Vinyl Tile Flooring]. 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 [Unique Configuration Prison 358 Security Fence].

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.10FT Rotomoulded Fishing Kayak De Pesca Pedales Foot Pedal Canoe Boat Propeller Controller(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Light Flashing Warning LED Strobe Warning Light Car Truck Emergency Beacon Light Yet614(90%) in removing FBs [Commercial Automatic Ice Maker Machine/Flake Ice Cube Maker]. Collectively,60ton 80ton 4 Column Single Action Hydraulic Oil Filter Press Machine.

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