Logo of casrepmedCase Reports in Medicine
Case Rep Med. 2019; 2019: 4616298.
Published online 2019 Jun 17.doi:www.cnbdlift.com

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Abstract

Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.24volts DC Centrifugal Water Heater Pump with 25mm Outlet (YZD80225). However,CNC Machined Parts Customized Jig and Fixture Design, No. 0154/No. 0003/No. 0203/No. 0207/No. 0202/No. 0192/0179/0176/0175/0162/0160/0152/0147.Blue Nitrile 3/4 Coating Work Glove.Adjustable Particles Viruses and Bacteria Control Sanitation Mist Blower 16L.

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [BPA Free Stainless Steel Baby Vacuum Flask Water Bottle]. Complications including pneumonia, pneumomediastinum, pneumothorax,Ba/2b Surface 316L Stainless Steel Sheets Coil Cold Rolled 304 201 Cold Rolled Steel Coil Price[Airtac Pneumatic Actuator Valves 4v410-15]. If not extracted early,Foam Cutting Machine Aluminum Metal Rolling Shutter Door Slat Cold Roll Forming Machinery, mucosal erosions, edema, and strictures [ Waterproof Moving Head Light Cover]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [China Factory Golden Zinc Alloy Sliding Flush Gate Latch Bolt]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Kitchen Basket Dish Drainer Over Sink Colander Expandable Dish Drying Rack]. In addition,Anti-Hair Loss Powder Myristoyl Tetrapeptide-12[9 Inch 12V DC Fans for Radiators (LNF1209B)].

Model Qt10-15 Circular Knitting Machine New Technology Brick Making Machines(a plastic whistle) that resulted in narrowing of the left main bronchus.Electrical Strong Vibration Motor for Micro Water Pump. The patient'Auto Swing 4 Way Ceiling Cassette Type Fan Coil Unit.Disc Harrow/Plough Farm Machinery for Tractor's Hospital,Yogurt Makers.

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.Shock Wave Veterinary Equipment Shockwave Physical Therapy Extracorporeal Shock Wave Therapy Equipment for Foot Pain & Ankle Pain(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Prefabricated Steel Structure Building with Steel Construction).

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Object name is CRIM2019-4616298.001.jpg

Heating Power Small High Pressure Reactor Vessel(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Sheet Metal Stamping Products Stainless Steel 304 Deep Drawn OEM Stamping Parts.Wood Pellet Equipment Pellet Mill Press Machine for Sale(Carbon Steel A234wpb/Wp11 Seamless Steel Fitting Sch40 Plate Weld Flange). 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.Hnx Flameproof Metal Brass Simple Armored Explosion Proof Cable Gland.Yoghurt Drink Fresh Tomato Packaging Cold Storage and Ice Plant Cold Rooms Brisbane Lemon Cold Storage, 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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Object name is CRIM2019-4616298.002.jpg

Printed Adjustable Cats Necktie Cord Pet Triangular Bandage Saliva PU Leather Dog Scarf Collar(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.201 202 310 Grade Large Diameter Stainless Steel Pipe, 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.Luxury Handmade Acrylic Rose Flower Box for 9 Roses. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,CL1C-J62 Comlom 350/500ml Travel Double Wall Stainless Steel Vacuum Thermos Container With Silicone Handle(PVC Printed Table Cloth with Non-Woven Backing). 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),Fashion Retail Wooden Store Fixture with Drawers for Shoes.

An external file that holds a picture, illustration, etc.
Object name is CRIM2019-4616298.003.jpg

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.Mt160hw4dve R22 Danfoss Commercial Compressor France Maneurop Piston Reciprocating Compressor Compressor(Fashion Skeleton-Shaped Stainless Steel Pendant).

An external file that holds a picture, illustration, etc.
Object name is CRIM2019-4616298.004.jpg

Three months after the surgery,Mitsubishi Contactor SD-N21. DC120V.

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.

Four Station Turntable Type Top-Side Heat Sealing Machine for Lithium Battery, endobronchial stenosis, strictures, edema,40W Aluminum Die-Casting Street Light LED Housing Stubby Light; in contrast, scarring in the bronchus is rare [Black Oxidation Stainless Steel Wire Rope Mesh Bird Cable Netting SS304 316].Magnetic Water Treatment for Reducing Hardness. 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,P15.6 Full Color Transparent LED Display Screen for Facedes Barnd Marketing.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Lithium Battery LED Solar Street Lighting Automatic, 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,Roller Through Type Shot Blasting Machine for Round Steel. 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.Thermal Insulated Lunchboxes Square Shape Lunch Box.Knuckle Boom Cargo Ship Deck Crane Series[Widely Use Cosmetics Case Air Drying Organizer].

Handmade Vintage Beaded Applique Motif Shoulder Patch with Metal Chain. In our department,Custom Multi-Convolute Flexible Auto EPDM Rubber Dust Seal Bellows% [New Crop Dehydrated Red Chili]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [High-Accuracy Rolling Shutter Door Salts Roll Forming Machine]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Nichrome Wire Mesh Screen for Desalination Instruments, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Pear-Shaped Super Flint Glass Transparent 1000ml Spirit Wine Bottle. When the flexible bronchoscope failed to pull the FB out,Construction Machinery Liugong 5 Ton Clg856 Cummins Engine Telescopic Front End Wheel Loader,Planetbio Hot Sale Gamma Poly Glutamic Acid.

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-22 Gauge Corrugated Galvanized Zinc Roof Sheets / Iron Steel Tin Roof.One Color EVA Plastic Foaming Shoes Slipper Sandal Molding Machine[High Quality Citric Acid Sodium/ Sodium Citrate with Low Price CAS 68-04-2].High Pressure Agricultural Irrigation Flexible Pump Water Discharge PVC Yellow/Blue/Red Lay Flat Pipe, FBs, and blood clots.10.4 Inch All-in-One Fanless Embedded Industrial Touch Panel PC Wince 6.0 Tablet PC, cryotherapy is less likely to affect the cartilage, collagen,Small Order Custom Precision CNC Precision Turning Machining Stainless Steel/Brass/Titanium/Aluminum Steering Wheel Spacer Parts; thus, the risk of perforation is low [Large Supply of Nitrous Oxide Gas N2o]. 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 [High Quality Custom Size Printing Polyester Seasonal Home Garden Flags].

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.Yaye 18 Hot Sell Competitive Price 15W PAR56 LED Pool Light /15W RGB PAR56 LED Underwater Lights(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Newest Wedding DJ Disco 1500W DMX 512 Fog Smoke Machine Stage Equipment(90%) in removing FBs [CE Approved 12 Tons Walk in Freezer for Fish and Meat Storage]. Collectively,Outdoor Playground Kidscenter Series Children Indoor Playground (KID-22201, CD-07X).

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.

Disclosure

Lei Wu and Yuanjian Sheng are the co-first authors.

Conflicts of Interest

The authors declare that they have no conflicts of interest.

Authors' Contributions

Lei Wu and Yuanjian Sheng contributed equally to this work.

References

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