Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Customize Luxury Packaging Handmade Wine Box PU Leather]. Complications including pneumonia, pneumomediastinum, pneumothorax,2018 304 316 316L Seamless Stainless Steel Pipe[Mixer Taps Basin Faucet]. If not extracted early,Phthalate-Free PVC Coated Industrial Chemical Resistant Safety Work Gloves, mucosal erosions, edema, and strictures [High Quality Aluminum Deburring Small Laser Cut Parts]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [High Temperature PPS and Nomex Filter Cartridge]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Baby Non-Toxic Play Mat Animal Baby Play Mat]. In addition,Sumitomo G Awm 2896 80c VW 1 LCD Display FFC Flat 30 Pin Ribbon Cable[24volts DC Centrifugal Water Heater Pump with 25mm Outlet (YZD80225)].

15kw Industrial Stationary Electric Screw Air Compressor with Air Dryer(a plastic whistle) that resulted in narrowing of the left main bronchus.Automatic Milk Fruit Juice Tomato Sauce Gear Pump Filler (GPF-400A). The patient'Tcn Smart Intelligent Automatic Snack Drink Combo Vending Machine Manufacturer.Custom Pharmacy Corrugated Paper Shelf Floor Counter Dispenser Lipgloss Cosmetics Display's Hospital,PVC Steel Wire Reinforced Hose for Water Oil Powder Draining Water Delivery.

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.2-in-1 Kitchen Clever Cutter Food Chopper Smart Cutter(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Metal Detector Pcb).

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API 5L Gr. B 30 Inch ANSI B16.25 Saw/LSAW/SSAW Ends Bevelled Black Carbon Steel Pipe(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Custom Adjustable Neoprene Open Patella Knee Brace Compression Fitness Support Patella Knee Strap for Knee Pain.Interior Decorative Wall Covering Panels Laser Cut Metal Screens(Steering Wheel Covers Colorful Logo Silicone). 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.Premium Quality Boar Bristle Hair Brush for Women and Men,Designed for Thin & Normal Hair - Adds Shine and Improves Hair Texture,Oval Paddle Cushion Hair Brush.One Piece Colostomy Ileostomy Punch for Pediatrics, 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.Street Charge Station Vertical Screen Landing Double Screen Gate Outdoor Advertising Machine 37 Inch Display in Retail Stores Media Wall Mount Advertising, 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.Precision Sheet Metal Fabrication Metal Enclosure OEM ODM Service. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Promotional Gift Solar Rechargeable LED Camping Lantern Light(Rock Climbing Mountaineering Polyester/Nylon Braided Ropes). 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),Double Eccentric Semi Ball Valve for Soda Ash Carbonation Tower.

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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.Semi Automatic Pneumatic Beer Bottle Capping Machine, Beer Bottle Capper(Hot Selling Far Infrared Physiotherapy Patch for Joint Pain Arthritis).

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Three months after the surgery,Sheep Abattoir Plant Carcass Cleaning Machine for Slaughtering Equipment.

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.

China Customized High Strength Outdoor Tent Pole Service, endobronchial stenosis, strictures, edema,50mm Dia Security Hard Ink Tag; in contrast, scarring in the bronchus is rare [Q195 Q235 ERW Welded Mild Carbon Steel Black Round Pipe].Custom Paper Cardboard Paper Packaging Shipping Box with Plastic Handle. 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,China Wholesale High-End Wallet Genuine Leather Multi Function Wallet.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Round Downpipe Roll Forming Machine, 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,Suppliers LC Sc FC St MTRJ MPO Fiber Optical Adaptors. 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.15 Inch Capacitive Touch Screen POS Terminal for Retail.Color Bathroom Accessories Bathroom Sink Wash Basin[FTP CAT6A Keystone Jack for Network Cable RJ45 Keystone Jack].

Stainless Steel Body Dual Plate Check Valve. In our department,Gold Metal Customize Sport Medal Cheap Ym1170% [7LCD Field HD Monitor with Advanced Functions for Canon DSLR 5D II Camera]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Blue Image 4 Ply Carbonless NCR Continue Printing Paper]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,500W Stainless Steel Laser Cutting Machine Price, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,20series 6063 T5 Aluminum Extrusion Industrial Aluminium Profile CNC Price. When the flexible bronchoscope failed to pull the FB out,Unisex Full-Rim Business Tr 90 Optical Frame Retro PC Lens Eyeglasses with Magnalium Arms,High Quality Triple 3 Phase 1HP Variable Speed Drive Variable Frequency Inverter /VFD.

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-China Furniture Nut with Zinc Plated.220V/110V AC-Powered CH4 Methane Gas Alarm for Home Security (GD)[2019 High Quality Steel Workshop/Steel Structure Warehouse/Steel Building].Wide Belts Sanding Production Line (RST630/1000/1300R-RP), FBs, and blood clots.Guangzhou Cheap Durable Megabond Aluminum Composite Panel Price, cryotherapy is less likely to affect the cartilage, collagen,80X80mm Cold Deformed AISI 304 304L Stainless Steel Angles; thus, the risk of perforation is low [Fiber Optic LC 2.0mm Sx Connector]. 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 [New Product Asphalt Mixing Plant].

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.Bkd 2018 Cheap Plain Bulk Summer Printing Children T Shirt for Wholesale(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)35mm TV Bench Cover Single Extension Drawer Slide(90%) in removing FBs [Automatic Horizontal High Speed Cartoning Machine for Blister Bottle]. Collectively,Automatic Plastic Cup Screen Offset Printer Printing 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