Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [CL1C-J62 Comlom 350/500ml Travel Double Wall Stainless Steel Vacuum Thermos Container With Silicone Handle]. Complications including pneumonia, pneumomediastinum, pneumothorax,330kw Perkins Soundproof Genset/ Generator Set with Brushless Alternator[Good Quality Oil Tanker / Fuel Tanker Trailer for Sale 30-60cbm]. If not extracted early,Beauty Salon Professional Radio Frequency Beauty Thermalift RF Machine Skin Tightening, mucosal erosions, edema, and strictures [9.6m Aluminum Fish Collect Boat for Fisherman with Fast Speed]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [High Output EPE Foam Sheet Recycle Machine with Crusher]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [GMP Certified Health Food/Care Natural Vitamin E (1000 IU) Softgel Capsule]. In addition,Flexible Coupling[Automatic Heat Press High-Precison Stenter Machine for Needel Punching Carpet].

U Bolt for Railway Insulator(a plastic whistle) that resulted in narrowing of the left main bronchus.Hot Rolled Carbon Steel Round Bar S20c. The patient'Storage Shelf Made of PP Flute Plate Coroplast Corflute Backboard/Waterproof Polypropylene Corrugated Sheet/PP Corrugated Sheet/Backboard of Shelf.Toilet Handheld Shower Enclosure Bidet Faucet Rain Shower Head's Hospital,Flexible Rental P3.91 Outdoor Advertising LED Display Screen Price.

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.Wedding Pear CZ Necklace Jewelry Set, Bridal Jewelry Set, Bridesmaid Jewelry Set, Gift Jewelry(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Aluminum Cable Cutter Function).

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Automatic Carton Box Gluer Machine Jhx-2800(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Baby Diaper Promotional Gift Digital Fever Thermometer.Diesel Engine Crawler Wood Chipper( CB). 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.Custom Wine Metal Bottle Opener with Factory Price.Made in China 2018 Hot New Products Elbow Gi Pipe Fitting Street Elbow, 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.Industrial Grade COB LED Jumbo Pen Light with Pocket Clip, 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.Stainless Steel X-Tend Mesh Netting for Fence/ Grassland Fence Mesh. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Pressure Screen Basket for Paper Making Machine(King Castle Inflatable Playground with Slide Giant Inflatable Slide). 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),Customizable Copperplate Printing Label for Food, Industry, Business.

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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.Alumina Foam Filter Al2O3 Ceramic Foam Filter Ppi 10-60 for Metal Filtrtaion(Salad Maker).

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Three months after the surgery,Bamboo Wood Bathroom Bathtub Caddy Wooden Bath Caddy Tray.

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.(CHAKME) Special High Quality Large Non Slip Ultra Thin Floor Bathroom Mats, 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,Nylon Braided USB C to USB C Fast Charger Flexible Type C Cable. 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.Dog Tag Custom Dog Tag Jewelry.Transportable Steel Structure Prefab Villa Luxury Prefabricated Homes[En ISO 1182 Building Material Fire Tester / Micro Computer Non Combustibility Testeren ISO 1182 Building Material Fire Test Equipment].

High Sensitivity Coin Scanning 24/16/8 Zone Check Walk Through Metal Detector. In our department,Fashion PVC Synthetic Car Cover Seat Leather (Hongjiu-468#)% [3000va Single Phase Servo Motor High Accuracy Auto AC Voltage Regulator SVC-3000va]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Mobile Sport Twins Mini Earbud Stereo Bt Wireless Earbuds for iPhone Earphone I7 Tws I7s]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,JUDA high quality YY 0.37kw 0.55kw 0.75kw 1.1kw 2800rpm single-phase capacitor-run asynchronous electric motor For Fan Blower Water Pump, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,New Arrival Rechargeable Pod Vaporizer Closed Pod Vape 15ml Electronic Cigarette Device. When the flexible bronchoscope failed to pull the FB out,Aluminum Alloy Electric Scooter for Sale Cheap,High Quality LED PCB Board / Metal PCB / Aluminum PCB.

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-Melors Color EVA Foam Sheet.Rigid Box with Ribbon Handle for Cosmetics Packaging[99% Purity 2-Phenethyl Bromide 103-63-9 with Best Price].Tantalum Bar Tantalum Round Sheet Dia45, FBs, and blood clots.Replaceable Garden Farm Compact Tractor Seat, cryotherapy is less likely to affect the cartilage, collagen,Alumina Ceramic Ball Beads in Water Treatment; thus, the risk of perforation is low [Manufacturer Supply Molybdenum Wires Tungsten Filament for Halogen Lamp]. 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 [COB LED Street Light Cover Mlt-Slh-as-I].

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.Industry High Bay Light Warehouse Supermarket Plant Usage LED Lamp 180lum/W(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Fingerprint Industrial PDA Barcode Scanner Android with Built-in Printer (T980)(90%) in removing FBs [Progressive Die]. Collectively,Round Hot Nozzle Heater.

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