Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Mutil Story Prefabricated Steel Structure Hotel Building]. Complications including pneumonia, pneumomediastinum, pneumothorax,Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill[Mould Parts]. If not extracted early,Double Color PVC Coil Mat/Floor Mat/Door Feet Mat/Car Feet Mat Making Machine, mucosal erosions, edema, and strictures [White Color Backing Adhesive Expanded PTFE Teflon Tape]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [E-Cigarette Smoking Battery Portable Vape Pen Pod Device Kit Vapor Vaporizer Kits]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Free Sample Felt Belt Suppliers Made in Xiamen]. In addition,PET film Reinforcement Aluminum Foil for Self-adhesive Waterproof Membrane[Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale].

Cold Room and Freezer for Fish, Meat, Food, Fruit, Vegetable(a plastic whistle) that resulted in narrowing of the left main bronchus.Transport Excavator Low Bed Semi Trailer for Hot Sale. The patient'500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price.1m 5V 5A USB Fast Charge Cable Type C Charge Cable's Hospital,Cheap Price 1.6 Ton Crawler Excavators Hydraulic Crawler Mini Excavators.

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.40W Outdoor Cool White Lighting Rotatable Solar Cell Street Light(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (China Lock Stitch Shuttle Quilting Machine).

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High Efficiency Widely Usage Feed Pellet Machine for Dairy Farm(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Drawing Die of Wheelbarrow Trolley.9W LED T8 Tube Light IP20 0.6m 2FT for Indoors(High Efficient Automatic Soldering Machine with Competitive Cost for Mobile Phone). 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 2.3 Axles Flat Bed Semi-Trailer for 40FT Container.Rubber Seal Made of Silicone From China Manufacturer, 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.Pack Box Paper, Fast Food Paper Bag Paper Coating Machine, 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.Standard Flexible PVC Helix Industrial Suction Hose. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D)(Galvanized Plain Elbow with Flate Iron Pipe Fitting). 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),Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale.

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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.Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round( Slotting and Die-Cutting Machine).

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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.Fashion Sided Control Panel Smart Electronic Bidet, 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,50W CNC Fiber Laser Marking Machine Laser Engraving Machine. 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.Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L.Zinc Plated Flat Big Head Clout Nail for Roofing[High Torque Electrical DC Stepping Motor for Monitor/Oven/Printer].

2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%. In our department,Luda Concrete Bitumen Mixing Plant From 80t/H to 320t/H for Sale% [2 Inch Gi Pipe Price]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [2019 New Item 2600mAh RoHS Solar Charger Power Bank with Sucker]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Performance Multiple Steel Pipe Bending, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Rough Top Conveyor Belt Rubber Conveyor Belts. When the flexible bronchoscope failed to pull the FB out,Open Cell EPDM Sponge Foam Sheet for the Gasket,Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls.

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-13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards.Nail Polish Machine Set with 6 Acrylic Gel Remover Pedicure Tools Nail Art[Protection Control and Measure of 138kv Substation Including of Power Transformer -Over Head Line-Distribution Panel From Brand Siemens-Schneider-Chin].Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel, FBs, and blood clots.Metal Cleaning Wet Sand Blasting Machine Water Sandblasting Machine, cryotherapy is less likely to affect the cartilage, collagen,PP Bag with Recycle Material with Very Cheaper Price; thus, the risk of perforation is low [500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel]. 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 [Nitrogen Inflator Pressure Swing Adsorption Generator of High Purity Big Capacity].

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.High Quality LC Quad APC Upc 4 Cores Standard Fiber Optic Adapter(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing Machine(90%) in removing FBs [Used for Security Products]. Collectively,DMD Insulation Paper for Insulation Moter 6641.

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