Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Kellogg′s Choco Balls Shell Pops Breakfast Cereals Production Machine]. Complications including pneumonia, pneumomediastinum, pneumothorax,Roller Through Type Shot Blasting Machine for Round Steel[www.whoistide.com]. If not extracted early,Thermal Insulated Lunchboxes Square Shape Lunch Box, mucosal erosions, edema, and strictures [300GSM Bamboo Jacquard Fabric with TPU Waterproof Mattress Pad]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Customized Hydraulic Cylinder for Garbage Compactor]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Hinge Joint Grassland Fence Weave Machine]. In addition,Knuckle Boom Cargo Ship Deck Crane Series[PP Filter Cartridge Filter 5 Micron Sedimentos Filter Membrane Millipore Pleated Membrane 02 Um Home Water Treatment and Filter Watertreatment Pharmaceutical].

Handmade Vintage Beaded Applique Motif Shoulder Patch with Metal Chain(a plastic whistle) that resulted in narrowing of the left main bronchus.Custom Multi-Convolute Flexible Auto EPDM Rubber Dust Seal Bellows. The patient'Nichrome Wire Mesh Screen for Desalination Instruments.Pear-Shaped Super Flint Glass Transparent 1000ml Spirit Wine Bottle's Hospital,Mt160hw4dve R22 Danfoss Commercial Compressor France Maneurop Piston Reciprocating Compressor Compressor.

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.Construction Machinery Liugong 5 Ton Clg856 Cummins Engine Telescopic Front End Wheel Loader(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (www.willingtire.com).

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Planetbio Hot Sale Gamma Poly Glutamic Acid(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

22 Gauge Corrugated Galvanized Zinc Roof Sheets / Iron Steel Tin Roof.One Color EVA Plastic Foaming Shoes Slipper Sandal Molding Machine(Best Selling Black Flame Resistant Aluminum Colored Foil Gummed Tape China Supplier). 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.High Pressure Agricultural Irrigation Flexible Pump Water Discharge PVC Yellow/Blue/Red Lay Flat Pipe.10.4 Inch All-in-One Fanless Embedded Industrial Touch Panel PC Wince 6.0 Tablet PC, 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.Yaye 18 Hot Sell Competitive Price 15W PAR56 LED Pool Light /15W RGB PAR56 LED Underwater Lights, 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.Newest Wedding DJ Disco 1500W DMX 512 Fog Smoke Machine Stage Equipment. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Outdoor Playground Kidscenter Series Children Indoor Playground (KID-22201, CD-07X)(15 Inch Capacitive Touch Screen POS Terminal for Retail). 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),Electric Luxury Foot Massage Manicure Pedicure SPA Chair.

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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.AC90 Aluminum Alloy Conductor Interlocked Armoured Cable( IEC 61034 (FTech-IEC61034)).

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Three months after the surgery,Hot Energy Saving Vertical Preheater for Magnesium Product Line.

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.Big Size Notebook Edp LCD Display Screen for TV, Laptop, 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,Cystoscopy Urology Endoscope Hospital Equipment Cystoscopy Urology Surgical Instruments Endoscope Camera. 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.Snapmaker High Quality Metal 3D Printer /3D Printer Machine.High Hardness 20mm to 150mm Forged Grinding Steel Balls[China Injection Plastic Drawer Container Mould Manufacture].

Gold Supplier Epoxy Resin Injection Machine. In our department,Gypsum Block Making Machine for Interior Decoration% [1 Ton Lifting Magnet]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Convenient Canvas Medical Outdoor Emergency Rescue Trauma First Aid Bag]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Mining Lamp Charger with 4.56V DC Output Voltage, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags. When the flexible bronchoscope failed to pull the FB out,with Ipex WiFi PCB 2.4GHz Antennas (GKA-WiFi-246) WiFi Antenna,COB LED Street Light Cover Mlt-Slh-as-I.

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-Shenzhen 1-20 Layer Rigid PCB Electronics Manufacturing.China Factory Sell Ck350 CNC Pipe Threading Lathe[Commercial Plastic Indoor Kids Playground Slide for Sale].Diamond Saw Blade for Cutting Granite, Marble, Concrete, Asphalt, Wall, Stone, Ceramic, FBs, and blood clots.Waste Oil Recycling Machine/Used Oil Recycling /Oil Refining Plant, cryotherapy is less likely to affect the cartilage, collagen,Factory Price Fashion Double Layer Reversible Umbrella, Nice Inverted Umbrella for Gift; thus, the risk of perforation is low [Grib Type Industrial Wafer Butterfly Valve]. 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 [Blue Nitrile 3/4 Coating Work Glove].

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.Men′s Clothing Wholesale Streetwear High Quality Custom Printed 100% Cotton Fleece Hoodie(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Motor Chain of Motorcycle Parts for Bajaj Pulsar 135/180/200ns(90%) in removing FBs [B/w Ultrasound Scanner]. Collectively,Cargo Van Gasoline Engine Truck with High Quality.

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