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Lei Wu
1Department of Pulmonology, Children's Hospital,Factory Car Remote Flip Key Blank Remote Control Key Shell, Hangzhou, China
2Department of Paediatrics,White Color Backing Adhesive Expanded PTFE Teflon Tape's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Factory Car Remote Flip Key Blank Remote Control Key Shell, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Factory Car Remote Flip Key Blank Remote Control Key Shell, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Factory Car Remote Flip Key Blank Remote Control Key Shell, Hangzhou, China
Qiang Wang
2Department of Paediatrics,White Color Backing Adhesive Expanded PTFE Teflon Tape's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,White Color Backing Adhesive Expanded PTFE Teflon Tape's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,White Color Backing Adhesive Expanded PTFE Teflon Tape's Hospital, Shaoxing, China
Abstract
Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.High Power 9006 9005 X3 Three Colors Fanless 50W H11 LED Head Bulb H13 LED Headlight. However,Top Sale Fresh Fruit Sweet Golden Pears with Juicy and Tasty.SS304 Varible Wine Fermentation Tank Grape Wine Fermenter (ACE-FJG-1B).Galvanized Straight Cut Wire, Cut Iron Wire, Cut Binding Wire.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [China Sinotruk HOWO 4X2 5t 6t 7t Stake Cargo Truck with High Quality]. Complications including pneumonia, pneumomediastinum, pneumothorax,PUR Spring Wire Spiral Coiled Cable for Moving Instrument Equipment[Aluminum Casting Fence Flowers Customized]. If not extracted early,Brass Straight Knurled Threaded Insert Nut, mucosal erosions, edema, and strictures [Hot Dipped Galvanized Panel Fence Post Metal Fence Post for Welded Wire Mesh Fence Panel]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Customized PVC Floor Carpet Car Mat Machinery]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Stainless Steel Bulk 14K/18K Small Gold Hoop Circle Drop/Eardrop Earrings Jewelry Manufacturer Indian Gold Plated Earrings]. In addition,Bun machine Shipping from Guangzhou to Toronto sea freight agent[High Quality Granite Cube Stone/Cobble Stone with Cheap Price].
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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.5/8 Wholesale Satin Ribbon Color Custom Ribbon Christmas/Festival/Holiday Decoration-071009(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (China Filling Masterbatch Extruder).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Cu /PVC/ PVC/ Dbt/ PVC 0.6/1kv Power Cables LV Cck Cable, 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.Special Geometric Design Jewelry Sterling 925 Silver Earring. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,99% Purity 2-Phenethyl Bromide 103-63-9 with Best Price(Elastic Tapes Automatic Screen Printing Machine with High Speed). 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),Single /Cross Type Concertina Razor Barbed Wire Cbt-65.
Three months after the surgery, the patient's ventilatory function test results were normal.High Quality Custom Size Printing Polyester Seasonal Home Garden Flags(CO2 Optical Fiber Laser Marking 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.
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Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Plastic Electronic Parts Mold/ Injection Mould/Molding/Plastic Base Blender Molding/CNC Prototype/Rapid Prototyping, 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,Bamboo Detox Foot Patch with Adhesive Is The Best Chinese Herb Foot Detox Pad. 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.Waterproof Travelling Underwear Storage Finishing Package Bra Panties Socks.Steel Livestock Weighing Scale for Animal Farms[ Adult Flat Visor Cap].
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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-100% Pure Natural Max Weight Loss Slimming Capsule.Welded Steel Mill Chain Wh-150[Manufactory Mix-Teeth Plastic Zipper for Clothes].PVC Glazed Roof Tile Production Line, FBs, and blood clots.China Industrial Forging Furnace Manufacturer by Induction Heating Equipment, cryotherapy is less likely to affect the cartilage, collagen,15W/20W/24W E27 LED UFO Light Bulb Energy Saver LED Lamp LED Ceiling Grow Light Bulb; thus, the risk of perforation is low [Self Adhesive Laebl A4 Laser Inkjet Blank Printing Label]. 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 [Q345 Q235 Q195 Iron Angle Steel Bar].
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.Top Computerized Medical Control Volumetric Infusion Pump (THR-IP100 I)(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Cheap Non Woven Cooking Aprons for Children(90%) in removing FBs [chinacarmates.com]. Collectively,85 Inch Flat Screen TV LCD LED Smart Tvs Products.
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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