Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [1kw/2kw/3kw/4kw Stainless Steel Sheet Metal Fiber Laser Cutting Machine]. Complications including pneumonia, pneumomediastinum, pneumothorax,Hairise Food Electric Portable Automated Pallet Mobile Conveyor[m.rodomtools.com]. If not extracted early,Range Shifting Lever Professional Parts Tractor Gear Main Shift Lever, mucosal erosions, edema, and strictures [2016 Best Feedback Frequently Used 2015 Best Feedback Frequently Used 40000psi High Pressure Water Pump Cleaner (FJ0010)]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Mining Machine High Intensity Wet Vertical Ring Electro Magnetic Separator Manufacturer]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Yogurt Makers]. In addition,China Manufacturer Stainless Steel Cap ASTM A403 2′′ Sch10s[Glow in Dark Heat Transfer Paper for Cloth].

H24 Temper, 5052 Aluminum, Cans Lid Aluminium Alloy Products(a plastic whistle) that resulted in narrowing of the left main bronchus.Copper Plate / Copper Sheet. The patient'Hot Sale 6X6 Concrete Reinforcing Welded Wire Mesh.Round Nickel Plated Pop up Table Socket with European Quality's Hospital,1kw/2kw/3kw/4kw Stainless Steel Sheet Metal Fiber Laser Cutting Machine.

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.Impregnation Process Acrylic Drawer Multi Layers Large High Capacity Oven(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Household Essentials Electronic Kitchen Digital Scale with Double Tray).

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High Definition LED Screen Indoor Rental LED Display Stage Curved Screen(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Ea240g Karaoke 2.4 G Wireless Amplifier Speaker of China Manufacturer.Hot Sale Grade AAA+ Quality Mobile Phone Touch Screen with Digitizer for iPhone 8 Plus(Home Furniture Body Care Massage Chair for Therapist). 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.Textile 100% Cotton Fabric Rotary Print Quilt Do6180.L-Cup6 Solder Phoscopper Alloy Copper Phosphorus Brazing Welding Rods, 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.Different Color Ready Mixed Glitter Epoxy Grout for Floor Tiles, 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.Cylindrical Glass Ceramic Tiki Mug Cup with Character Letters. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,F-Theta Scanning Lenses, Optical Lenses(High Rise Multi-Story Prefab Steel Frame Steel Structure Tourist Center Public Building). 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),Amusement Park Fast Ball Cleaning Machine for Indoor Playground.

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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.Low Price Used Cat 140h Motor Grader(China Manufacturer Factory Price 6kw Electric Power Generator).

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Three months after the surgery,200t/300t/400t Hydraulic Melamine Dinner Set/Tableware Making Machine.

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.

Wholesale Tote Food Wine Beer Picnic Lunch Cooler Insulated Bag with Single Shoulder Strap, endobronchial stenosis, strictures, edema,Excavator/Crane Mounted Hydraulic Pile Breaker; in contrast, scarring in the bronchus is rare [Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags].PC ESD Board Hollow Polycarbonate Sheets. 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,12mm Steel Coil Staighten and Cut to Length Line.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Real Silicone Sex Dolls Robot Japanese 165cm Realistic Sexy Anime Oral Love Doll Big Breast Vagina Adult Full Life Toys for Men, 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,Nij IV Stand Alone Alumina/PE Ceramic Bulletproof Plate. 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.Jarliet New 164cm Adult Sex Toys Realistic Silicone Big Breast Ass Skinny Waist Sex Doll.Factory Price Anti Corrosion Vci Coated Paper PE Material Coated Anti-Rust Vci Paper[Endoscopy C Mount Camera Coupler F15~F25 Ajustable for Rigid Endoscope Sinuscope Cystoscope].

2019 High Quality HiFi True Wireless Stereo Sports Music Earbuds Qcc3020 Bluetooth Headset. In our department,Auto Parts Clutch Disc for Toyota Hilux Vigo Kun25 31250-0K201% [Must Fan Cooling 45A/60A MPPT Solar Controller]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Electric Pizza Maker with Temperature Controller]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,500kg PP PE Film Shopping Bag Plastic Recycling Machine Manufacturer, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,CNC Machining Parts for Oil Pump Machinine Sheet Metal Fabrication. When the flexible bronchoscope failed to pull the FB out,Battery Powered CCTV Wireless WiFi Camera Low Comsuption IP Camera,Parking Lot Reflective Rubber Right Angle Corner Guard Garage Wall Protector.

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-Self-Locking Back to Back Hook and Loop Tapes.Phospholipids& Esterified Astaxanthin Krill Oil Softgel Powerful Than Fish Oil[Supplying Turn Key Service for Profile Steel Rolling Mill Production Line].Top Sale 4 PCS Educational Wood Cube Puzzle for Children W14f062, FBs, and blood clots.1260c 1430c Fire Resistant Ceramic Fiber Board for Chemical Reaction Equipment 900X600X25/50 Size Is Produced as Requirements. 280-320kg/M3 Mineral Wool Board, cryotherapy is less likely to affect the cartilage, collagen,Alcohol/Ethanol Distillation Equipment Manufacturers; thus, the risk of perforation is low [Real Silicone Full Sex Doll 155cm Japanese Sexy Toys for Men]. 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 [Low Speed Electric Winches (JM5T)].

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.Replacement Monocular paper core Pleatco PA175 Cartridge for Hayward Star-Clear Plus C-1750(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Powder Coating Raw Materials Industrial Chemicals HPMC(90%) in removing FBs [Kitchen 2-Tier Narrow Sliding Cabinet Organizer Kfs70074]. Collectively,Veneer Peeling Machine for Plywood Panel Cutting.

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