Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [VB10-63 Series Mini Circuit Breaker]. Complications including pneumonia, pneumomediastinum, pneumothorax,Rectangular Shape PVC Material Custom Clear Plastic Table Cover[Automatic Outdoor Square Stage]. If not extracted early,High Torque Electrical DC Stepping Motor for Monitor/Oven/Printer, mucosal erosions, edema, and strictures [Underground Wall Slurry Balance Pipe Jacking Drilling Mud Recovery Equipment 200m3/H]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Commercial Use Fruits Dehydrator]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Rough Top Conveyor Belt Rubber Conveyor Belts]. In addition,925 Sterling Silver Mini Stud Earrings with Heart Style for 2017 Canton Fair[XCMG HDD Xz400 Underground Horizontal Directional Pipe Drilling Machine].

Ocean Star Arcade Shooting Electric Fishing Game Machine(a plastic whistle) that resulted in narrowing of the left main bronchus.Large Load Capacity Multifunctional Ratchet Tie Down Lashing Straps. The patient'2.5mm/2.5 Stereo Plug W/Cable Protect, Audio Jack, 6.35mm/6.35, RCA/TV/AV/Audio Plug.Laser Welding Machine for Goldsmiths's Hospital,150d Recycled Polyester Oxford.

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.Iron Aluminum Copper Carbon Stainless Steel Metal 1500X3000mm Fiber Laser Cutting Machine(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Pump GPC4  Hydraulic Gear Pump for Excavator).

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Square Funny Trampoline Playground for Kids Play (HD-15101).Green 128V-03pin Pitch 5.0mm7.5 European Type Connector(Plastic Frosted Glass LED Lamp Cover Mold/Mould). 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.T4 SMD Pick and Place Machine.High Precision CNC Machining Anodizing Aluminum Parts, 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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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Silicone Reflective Bracelets RFID Slapband with Flexible Stainless Steel, 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.Stainless Steel Bulk 14K/18K Small Gold Hoop Circle Drop/Eardrop Earrings Jewelry Manufacturer Indian Gold Plated Earrings. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Chinese Elevator Passengers in Construction Elevator with Load of 1.0-4.0 M/S(Light Gold Bag Fittings Decoration Part of Hangbag Hardware). 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),Cake Display Show Case, Curved Cake Show Case/ Food Equimpent Bread Display.

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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.Powder Coat Systems with Powder Curing Oven(Mobile Intelligent Batching Production Line).

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Three months after the surgery,1080P HD Home Security Interphone Video Door Phone Intercom.

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.

Hot Sale Refrigeration Unit Condensing Unit Compressor, endobronchial stenosis, strictures, edema,Auto Parts Diesel Engine Cat Caterpillar 3306 Cylinder Head 8n6796; in contrast, scarring in the bronchus is rare [Luxury Handmade Acrylic Rose Flower Box for 9 Roses].Beer Beverage Sports Game Promotional Gift Cotton Logo Sweat Band. 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,China Jinan Hot Sale Woodworking Wood CNC Router Machine.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Wire Mesh Conveyor Belt for Food Freezering Processing, 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,Cat5e UTP Communication Network Cable Xzrc026/8 Pair UTP Cat5e Cable/UTP Cable5e LAN Cable. 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.Guangzhou Supplier Fashion Design Cro Pattern Leather Wallets for Men Card Leather Wallet Luxury Money Clip Wholesale.OEM Supplier Precision Stainless Steel CNC Turning Parts[API 5L Gr. B 30 Inch ANSI B16.25 Saw/LSAW/SSAW Ends Bevelled Black Carbon Steel Pipe].

Fashion Genuine Leather Bag Handbag for Ladies. In our department,Customized High Quality Gift Promotion Cufflinks Metal Pen% [Centrifugal Dewatering Pump Manufacturers Cheap Price]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Accurate Room temperature Digital Calender Alarm Projector Clock]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Ex-Factory Price 10mm Garden Landscape Artificial Grass and Turf, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Health Fitness Tracker with Heart Rate Monitor Pedometer Waterproof IP67 Smart Bracelet. When the flexible bronchoscope failed to pull the FB out,Grib Type Industrial Wafer Butterfly Valve,Highly Waterproof LED Blinder Audience COB Light with Best Price of 400W Lamp.

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-China MIG Welding Consumable Manufacturer CO2 Gas Shielded Welding Wire Er70s-6.Fiber Optic LC 2.0mm Sx Connector[Natural Oak/Walnut/Cherry/Maple Veneer Commercial Plywood/Fancy Plywood for Furniture].PVC Steel Wire Reinforced Hose for Water Oil Powder Draining Water Delivery, FBs, and blood clots.Sanitary Stainless Steel Tank Rotatory Spray Cleaning Ball, cryotherapy is less likely to affect the cartilage, collagen,GB Standard New Style Modular Steel Workshop Frame; thus, the risk of perforation is low [Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven]. 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 [5 Gallon Plastic Bottle Blow Molding Machine].

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.Stainless Steel Kitchen Storage Holders Racks Pantry Cookware Spice Shelf Rack Wall Hanging Kitchen Organizer(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)5000kg 5tons Steam Boiler for Food Industry Factory(90%) in removing FBs [Oil Jar With Metal Lid]. Collectively,Cal-a 70mm2 Al Cu Welding Bimetal Cable Lugs.

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