Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Sany High Quality 40ton New Hydraulic Rough Terrain Crane Src400c]. Complications including pneumonia, pneumomediastinum, pneumothorax,Accurate Room temperature Digital Calender Alarm Projector Clock[China Hento Brand Electric Diesel Air Concrete Shotcrete Machine Price]. If not extracted early,Colorful Glaze Ceramic Cup Custom Design Logo and Color, mucosal erosions, edema, and strictures [PUR Spring Wire Spiral Coiled Cable for Moving Instrument Equipment]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Polypropylene Foam Corrugated Plastic Board Dividers]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [200t Double Action / Piston Metal Stamp Hydraulic Press Machine]. In addition,Hot Dipped Galvanized Panel Fence Post Metal Fence Post for Welded Wire Mesh Fence Panel[High Torque Swdm60 Pile Construction Hole Drilling for Foundation].

China Double Stage 51/105 PE Film Recycle Extruder for Dirty Plastic Recycling(a plastic whistle) that resulted in narrowing of the left main bronchus.Manufacturer 304, 316 Stainless Steel Wire. The patient'SUS304/316 Mini Ball Valve 1 with Female Thread Ends.Multiple Function 5 in 1 RF Cavitation Beauty Salon Device's Hospital,High Tensile Strength Multicolor Pet Film Mylar Insulation Mara Tape for Transformer Masking Lithium Battery.

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.Glow in Dark Heat Transfer Paper for Cloth(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Blank Hotel Key Cards Pvc Card).

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16oz Glass Milk Tea Water Juice Drinking Bottle with Plastic Cap(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Laser Toner Cartridge Compatible HP Ce340A China Supplier.Automobiles, Trucks, Special Work Vehicles, Machining Parts(Best Price Wood Cutting /MDF CNC Engraving Machine). 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.Small Hardware Parts Metal Stamping Parts.Stretch Film Type for Food Wrapping PE Cling Film, 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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Wooden Tea Table for Office Room(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Kellogg′s Choco Balls Shell Pops Breakfast Cereals Production Machine, 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.Top Quality Raw Stero Powder Tpp Factory Supply for Muscle Growth. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Horizontal Centrifugal River Sand Slurry Mining Booster Dredging Pumps(7 Truck Reverse Camera Safety System for Train). 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),5 Gallon Plastic Bottle Blow Molding Machine.

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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.Large Supply of Nitrous Oxide Gas N2o(Automatic SMT Mounter for All Kinds LED Chips Mounter (TOP-10)).

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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.

Decorative Wedding Screen Room Divider 316 Stainless Steel Sheet Metal Screen Wedding Room Partition, endobronchial stenosis, strictures, edema,Articaine Hydrochloride Articaine HCl Powder Fast and Safety Delivery; in contrast, scarring in the bronchus is rare [Real Silicone Sex Dolls Robot Japanese 165cm Realistic Sexy Anime Oral Love Doll Big Breast Vagina Adult Full Life Toys for Men].Universal Outdoor 433.92MHz 220V Receiver and Transmitter. 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,Basic Type Economy Welding Helmet Mask with Ultra Wide Viewing Area, Welding Mask, Welding Shield, Welding Helmet.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.High Quality Bike Electric Mountain Bicycle for Adults, 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,CNC Automatic Cutting Machine for PU & PVC Composites Sponse Leather and Rubber Car Mats Carpets. 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.Quality Natural Iodized/Non-Iodized Edible Salt China Salt.650mm~1650mm Stainless Steel Reversible Cold Rolling Mill[3 Seater Deluxe Outdoor Garden Furniture Swing Chair Bed Hammock with Cushion].

Plastic Apron/ Disposable Apron/ Polyethylene Apron/PE Apron. In our department,35W Dimmable Interior Ceiling LED Recessed/Flush Can/Spot Down Downlight for Cloth/Retail Stores% [Zy 1404p 4-Needle Flat-Bed Double Chain Stitch Sewing Machine]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [4 Column 2 Cylinders Hydraulic Press Machine 400 Ton Ce]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,1mm Polyethylene Polypropylene Polymer Waterproof Membrane, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Aluminum Composite Panels for Interior Wall Decoration. When the flexible bronchoscope failed to pull the FB out,Cast Rubber Disc Belt Conveyor Comb Idler Roller,Plastic Floating Dock Making Floating Platform Blowing Machine Price.

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-123CH Wall Switches Learning Code RF Universal Remote Control.High Wear Resistant EPDM Cr NBR SBR Natural Rubber Skirtboard Rubber Conveyor Belt Rubber Strip[Small Format 6090 UV Printer LED Universal UV Flatbed Printer for Mobile Phone Case/Tile/Glass/Bottle].Factory Supply Bar Soap Packaging Machine/ Hotel Soap Packaging Machine, FBs, and blood clots.Sodium Diacetate Casno  126-96-5, cryotherapy is less likely to affect the cartilage, collagen,SMD Diode Bav99 High Speed Switching Diode Silkscreen A7 Sot-23 Package; thus, the risk of perforation is low [PVC Steel Wire Reinforced Hose for Water Oil Powder Draining Water Delivery]. 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 [Self-Adhesive TPE Plastic Sealing Strip for Wood Door and Window].

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.Home Used Metal 6 Drawer Storage Cabinet(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Carbon Steel Seamless Pipe Bend Fitting(90%) in removing FBs [m.tswinch.com]. Collectively,Transparent Custom Color PVC Label Holder Plastic Data Strip.

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