Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Carbon Fiber Square Tube Q345b Square Hollow Sections Galvanized Tube]. Complications including pneumonia, pneumomediastinum, pneumothorax,Double Color PVC Coil Mat/Floor Mat/Door Feet Mat/Car Feet Mat Making Machine[Solid Polycarbonate Sheet]. If not extracted early,PET film Reinforcement Aluminum Foil for Self-adhesive Waterproof Membrane, mucosal erosions, edema, and strictures [Factory Cheap Good Quality 600X600 LED Panel Light]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Mesh Bag for Onions]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [ Car Antenna]. In addition,Cold Room and Freezer for Fish, Meat, Food, Fruit, Vegetable[15W/20W/24W E27 LED UFO Light Bulb Energy Saver LED Lamp LED Ceiling Grow Light Bulb].

Transport Excavator Low Bed Semi Trailer for Hot Sale(a plastic whistle) that resulted in narrowing of the left main bronchus.500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price. The patient'1m 5V 5A USB Fast Charge Cable Type C Charge Cable.40W Outdoor Cool White Lighting Rotatable Solar Cell Street Light's Hospital,Custom Make Cheap Mono Segment Tn Htn LCD Glass Display.

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.High Efficiency Widely Usage Feed Pellet Machine for Dairy Farm(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Hobby CNC Router Wood Carving Router 3D Engraving Milling Machine).

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Drawing Die of Wheelbarrow Trolley(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

9W LED T8 Tube Light IP20 0.6m 2FT for Indoors.3 Axles Flat Bed Semi-Trailer for 40FT Container(Petroleum Resin C5 Road Marking Paint). 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.Rubber Seal Made of Silicone From China Manufacturer.European Style Wall Papers Home Decor Embossed 3D Damask Wallpaper Roll, 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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Pack Box Paper, Fast Food Paper Bag Paper Coating Machine(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Standard Flexible PVC Helix Industrial Suction Hose, 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.Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D). However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale(GB Standard New Style Modular Steel Workshop Frame). 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),Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round.

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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.5 Axis CNC Milling Machine for Plaster Molds Statues Making(Oeko Certified 100% Cotton Waffle Weave Bedding White Duvet Cover Set).

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Three months after the surgery,Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries.

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.

2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap, endobronchial stenosis, strictures, edema,Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven; in contrast, scarring in the bronchus is rare [1400-1700nm Dir Lb3 & 1470nm Laser Safety Glasses & Laser Protection Eyewear with Adjustable Frame36].Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card. 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,Fashion Sided Control Panel Smart Electronic Bidet.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.50W CNC Fiber Laser Marking Machine Laser Engraving 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,Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L. 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.Zinc Plated Flat Big Head Clout Nail for Roofing.2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%[Precision Sheet Metal Fabrication Metal Enclosure OEM ODM Service].

Luda Concrete Bitumen Mixing Plant From 80t/H to 320t/H for Sale. In our department,Performance Multiple Steel Pipe Bending% [21 Gauge Galvanized Tie Wire]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [China Medallion Maker Metal Medals Custom Made Design Your Own Brass Medals Custom 3D Die Cast Medals]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Rough Top Conveyor Belt Rubber Conveyor Belts, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Open Cell EPDM Sponge Foam Sheet for the Gasket. When the flexible bronchoscope failed to pull the FB out,Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls,13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards.

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-Nail Polish Machine Set with 6 Acrylic Gel Remover Pedicure Tools Nail Art.Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel[Range Shifting Lever Professional Parts Tractor Gear Main Shift Lever].Metal Cleaning Wet Sand Blasting Machine Water Sandblasting Machine, FBs, and blood clots.PP Bag with Recycle Material with Very Cheaper Price, cryotherapy is less likely to affect the cartilage, collagen,High Quality LC Quad APC Upc 4 Cores Standard Fiber Optic Adapter; thus, the risk of perforation is low [Label Paper Tape Flexo Printing Machine]. 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 [Zl08f Construction Machine Farm Tractors Zl08f Mini Compact Loaders].

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.LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing Machine(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)DMD Insulation Paper for Insulation Moter 6641(90%) in removing FBs [Body Scale]. Collectively,Dt1703 Intelligent Bathroom Sanitary Ware Comfortable Fashion Design Smart Toilet.

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