Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Impregnation Process Acrylic Drawer Multi Layers Large High Capacity Oven]. Complications including pneumonia, pneumomediastinum, pneumothorax,High Quality Aluminium Die Forging for Auto Parts[Fat Tire Electric Scooter]. If not extracted early,Trottinette Electrique 1000W Adult Green Power Electric Scooter Lithium, mucosal erosions, edema, and strictures [ Painting Palette]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Agricultural Machinery Multi-Purpose Corn Wheat Barley Soybean Planter Machine]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [375ml Ice Wine Glass Bottle/Ice Wine Bottle]. In addition,Self Lock Epoxy Coated Stainless Steel Cable Tie with Tie Tool[Basic Custom Design Plain Single Jersey Hat with Sequins (HY18072701/HY18072702)].

150d Recycled Polyester Oxford(a plastic whistle) that resulted in narrowing of the left main bronchus.30-100W Crystalline Solar Powered LED Outdoor Area/Street Lamp. The patient'Custom Ladies Perspex Pumps Sexy Women Party High Heels Shoes.Hydraulic CNC Press Brake Machine with Tooling Mould Holder Dies Blades Foot Pedals Switch and Multi V Block's Hospital,Automatic Disposable Tableware Packaging Machine Production Line Equipment.

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.Linear Motion Guide Various Models Linear Guide Ball Screw Drawer Slide Rail(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Lk Intelligent Part Rotation Gate/Ball Valve Electric Actuators).

St52 E355 E470 C45e Ck45 S45c St44 St52.3 St52.4 Hot Rolled or Cold Drawn Seamless Honed Steel Tube for Hydraulic Cylinder Barrel

Commerical Bakery Cake Display Cooler with Ce, CB, Saso(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Handheld Car Vacuum Cleaner DC 12V 120W Mini.Rectangular Shape PVC Material Custom Clear Plastic Table Cover(Elliptic Column Door Frame Metal Detector Security Walk Through Metal Detector). 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.High Torque Electrical DC Stepping Motor for Monitor/Oven/Printer.925 Sterling Silver Mini Stud Earrings with Heart Style for 2017 Canton Fair, 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.

Dental CAD Cam PMMA Disc Puck Blocks Compatible with Amann Girrbach Ceramill

Ocean Star Arcade Shooting Electric Fishing Game Machine(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Large Load Capacity Multifunctional Ratchet Tie Down Lashing Straps, 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.2.5mm/2.5 Stereo Plug W/Cable Protect, Audio Jack, 6.35mm/6.35, RCA/TV/AV/Audio Plug. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Laser Welding Machine for Goldsmiths(Battery Powered CCTV Wireless WiFi Camera Low Comsuption IP Camera). 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),Iron Aluminum Copper Carbon Stainless Steel Metal 1500X3000mm Fiber Laser Cutting Machine.

Foldable Electric Bike

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.Custom High Quality Logo Printed Adhesive Tape Packing Paper Bopptape(Electric Industrial Heater Furnace with Industrial Chiller for Rod Heat Treatment).

Rubber Seal Made of Silicone From China Manufacturer

Three months after the surgery,Square Funny Trampoline Playground for Kids Play (HD-15101).

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.

Green 128V-03pin Pitch 5.0mm7.5 European Type Connector, endobronchial stenosis, strictures, edema,T4 SMD Pick and Place Machine; in contrast, scarring in the bronchus is rare [Thick Pull up Fitness Custom Logo Resistance Loop Bands].High Precision CNC Machining Anodizing Aluminum Parts. 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,Tactical Military Hunting Camping Waterproof Coat Softshell Jacket.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Silicone Reflective Bracelets RFID Slapband with Flexible Stainless Steel, 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,Stainless Steel Bulk 14K/18K Small Gold Hoop Circle Drop/Eardrop Earrings Jewelry Manufacturer Indian Gold Plated Earrings. 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.Chinese Elevator Passengers in Construction Elevator with Load of 1.0-4.0 M/S.Cake Display Show Case, Curved Cake Show Case/ Food Equimpent Bread Display[Promotional Gift Solar Rechargeable LED Camping Lantern Light].

Powder Coat Systems with Powder Curing Oven. In our department,1080P HD Home Security Interphone Video Door Phone Intercom% [Corrugated and Plain Galvanised Sheeting]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [HRC45/55/60/65 High Precision 3 Flute Carbide Endmill Roughing End Mill]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Hot Sale Refrigeration Unit Condensing Unit Compressor, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Auto Parts Diesel Engine Cat Caterpillar 3306 Cylinder Head 8n6796. When the flexible bronchoscope failed to pull the FB out,Beer Beverage Sports Game Promotional Gift Cotton Logo Sweat Band,China Jinan Hot Sale Woodworking Wood CNC Router Machine.

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-Wire Mesh Conveyor Belt for Food Freezering Processing.Cat5e UTP Communication Network Cable Xzrc026/8 Pair UTP Cat5e Cable/UTP Cable5e LAN Cable[Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill].Guangzhou Supplier Fashion Design Cro Pattern Leather Wallets for Men Card Leather Wallet Luxury Money Clip Wholesale, FBs, and blood clots.OEM Supplier Precision Stainless Steel CNC Turning Parts, cryotherapy is less likely to affect the cartilage, collagen,Fashion Genuine Leather Bag Handbag for Ladies; thus, the risk of perforation is low [Trade Show Display Pop up Stand with Shelves 1X3]. 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 [Factory Manufactured GSM Flat Antenna with SMA Connector].

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.Customized High Quality Gift Promotion Cufflinks Metal Pen(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Ex-Factory Price 10mm Garden Landscape Artificial Grass and Turf(90%) in removing FBs [Perforated Wire Mesh]. Collectively,Health Fitness Tracker with Heart Rate Monitor Pedometer Waterproof IP67 Smart Bracelet.

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