Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [High Efficient Automatic Soldering Machine with Competitive Cost for Mobile Phone]. Complications including pneumonia, pneumomediastinum, pneumothorax,Factory Cheap Good Quality 600X600 LED Panel Light[Basic Yellow 2 High Quality Supplier]. If not extracted early,Kitchen Towel Tissue Paper Making Machine with Perfect Price, mucosal erosions, edema, and strictures [Kitsen Aluminium Formwork Panels for Concrete Casting Building]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Galvanized Plain Elbow with Flate Iron Pipe Fitting]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [ Slotting and Die-Cutting Machine]. In addition,High Output EPE Foam Sheet Recycle Machine with Crusher[Wide-Caliber].

Liya Factory Direct Sale 3.8m Rib Boat Seat Console, Rubber Boat Price(a plastic whistle) that resulted in narrowing of the left main bronchus.4inch Recessed Round Ceiling Office Downlight12W IP20 with Ce RoHS. The patient'2019 High Quality Steel Workshop/Steel Structure Warehouse/Steel Building.4 Column 2 Cylinders Hydraulic Press Machine 400 Ton Ce's Hospital,Machinery for Coconut Drink Juice and Coconut Milk Processing.

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.Automatic Meatsmoke House-Meat Smoker-Smoke House Machine(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (www.jinbinvalve.com).

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10g 100g Ozone Tube Ozonizer Parts(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Newest Hot Selling Solar Panel Power Solar Lighting System for The 2018 124th Canton Fair.Food Grade Sweeteners Supplier Aspartame Price(High Torque Electrical DC Stepping Motor for Monitor/Oven/Printer). 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.Nmsafety 15mil Green Nitrile Chemical Resistant Work Glove.20W/30W/50W Fiber/3D/CO2/UV/Mini Laser Marking/Engraving Machine for Metal and Nonmetal, 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.Prime Quality Hot DIP Galvanized Steel Strip Gi Sheet Price Galvanized Steel Coil, 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.Electroplating Plant Automatic Anodic Oxidation Plating for Aluminium /Magnesium. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Popular Exhaust Pipe O Clamp Accuseal Band Clamps(Protection Control and Measure of 138kv Substation Including of Power Transformer -Over Head Line-Distribution Panel From Brand Siemens-Schneider-Chin). 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),Aluminum Parts with Turning, Milling, Grinding, CNC, Anodizing.

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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.Fast Delivery Good Price Integrated All in One Solar LED Street Light 60W 40W(500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel).

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Three months after the surgery,2018 China Supplier Gift Toys Display Hanging Cable Packaging Box with Clear Window.

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.

Commercial UV Sterilizer for Water Treatment System, endobronchial stenosis, strictures, edema,2 Colour Jelly Melissa PVC Jelly Sandals Machine; in contrast, scarring in the bronchus is rare [Cold Chamber Aluminum Die Casting Machine Price and Door Handle].20W YAG Laser Aluminum Engraving Machine. 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,E-Cigarette Smoking Battery Portable Vape Pen Pod Device Kit Vapor Vaporizer Kits.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Portal Low Beach Camp Chair Folding Compact Picnic Concert Festival Chair with Carry Bag, 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,Plastic Water Bottle 500ml Filling Capping and Labeling Packing Machine Price. 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.Two Steel Rings and Rubber Washers Floating Oil Seal.Anping Heavy Galvanized Hexagonal Mesh[7.5m Australia Standards House Cabin Fishing Boat with Aluminum Plate].

Commercial Use Fruits Dehydrator, Plantain, Pineapple Dryer Machine. In our department,Light Steel Structure Factory Building/Steel Plant% [Wqm-320g Aumatic Reel Label Paper Die Cutter]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Sublimation Print Canvas Pillowcase Pillow Casecase, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Kitchen Tool Silicone Bread Kneading Bag. When the flexible bronchoscope failed to pull the FB out,New 10 Tons Folding Crane XCMG Truck Mounted Crane Sq10sk3q,VB10-63 Series Mini Circuit Breaker.

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-Buy Hyaluronic Acid Dermal Filler Injections for Knee.Flexible Rental P3.91 Outdoor Advertising LED Display Screen Price[Building Material Spc Vinyl Floor Laminate Flooring Manufacturer for Interior Decoration].Stainless Steel Perforated Metal Mesh Sheet, FBs, and blood clots.Built-in Power 50W Waterproof LED Tri-Proof Lamp for Warehouse Lighting, cryotherapy is less likely to affect the cartilage, collagen,Stainless Steel Food Riser Display Stand Rack Shelf; thus, the risk of perforation is low [10g 100g Ozone Tube Ozonizer Parts]. 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 [Cell Phone Signal Booster (Dual Band GSM 900MHz/1800MHz) -EU].

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.China Manufacturer Factory Price 6kw Electric Power Generator(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)2019 Cheap Amusement Park Rides Trackless Tourist Train for Sale(90%) in removing FBs [Engine Parts Platinum Spark Plug Sp-515 for Ford]. Collectively,Dz47 Series Mini Circuit Breaker.

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