Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Fluorescent Red 100% Cotton Breathable Soft Fabric T-Shirt Hi Vis Shirt Reflective Polo Shirt]. Complications including pneumonia, pneumomediastinum, pneumothorax,304 Stainless Steel 1/4 Cleaning Flat Fan Air Steam Spray Nozzle[Equivalent Product Of Chang Chun Bp-14 Wholesaler Quotes & PriceList]. If not extracted early,Plastic PVC WPC Powder Hot and Cool Mixer, mucosal erosions, edema, and strictures [5/8 Wholesale Satin Ribbon Color Custom Ribbon Christmas/Festival/Holiday Decoration-071009]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing Machine]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [RFID Polyester Woven Wristband for Party and Concert Festival]. In addition,Knock Down Mobile Unique Computer Table (HX-8NE039)[Venus 2019 Hot 2216 LED Strip Decorative LED Light].

Kitchen Catering Equipment High Quality Automatic Noodle Pasta Maker(a plastic whistle) that resulted in narrowing of the left main bronchus.Polished Bright AISI 304 Seamless Stainless Steel Tube. The patient'0.5 Ton 1 Ton 2 Ton 3 Ton 5 Ton 8 Ton 10 Ton 15 Ton 16 Ton 20 Ton Electric Hoist.High Quality Aluminium Die Forging for Auto Parts's Hospital,Marble Processing Polishing and Cutting Machinery.

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.Trottinette Electrique 1000W Adult Green Power Electric Scooter Lithium(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Automatic Paperboard Box Window Pasting Machine with Glue).

Automatic Disposable Tableware Packaging Machine Production Line Equipment

Self Lock Epoxy Coated Stainless Steel Cable Tie with Tie Tool(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

150d Recycled Polyester Oxford.30-100W Crystalline Solar Powered LED Outdoor Area/Street Lamp(Insulating Gloves for High Voltage Electrical Work Gloves). 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.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, 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.

Plastic Products Washing Machine Parts Plastic Mould

Linear Motion Guide Various Models Linear Guide Ball Screw Drawer Slide Rail(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Commerical Bakery Cake Display Cooler with Ce, CB, Saso, 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.Handheld Car Vacuum Cleaner DC 12V 120W Mini. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Rectangular Shape PVC Material Custom Clear Plastic Table Cover( Fiber Optic PLC Splitter Distribution Box). 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),High Torque Electrical DC Stepping Motor for Monitor/Oven/Printer.

Log Periodic 4g Antenna

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.925 Sterling Silver Mini Stud Earrings with Heart Style for 2017 Canton Fair(Children New Design Small Playground Theme Standard Theme Kids Playground Big Indoor Playground for restaurant).

Factory Multi Media Filter Tanks Mechanical Sand Filter Housing Swimming Pool Filter for Water Treatment Equipment

Three months after the surgery,Ocean Star Arcade Shooting Electric Fishing Game 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.

Large Load Capacity Multifunctional Ratchet Tie Down Lashing Straps, endobronchial stenosis, strictures, edema,2.5mm/2.5 Stereo Plug W/Cable Protect, Audio Jack, 6.35mm/6.35, RCA/TV/AV/Audio Plug; in contrast, scarring in the bronchus is rare [Open Cell EPDM Sponge Foam Sheet for the Gasket].Laser Welding Machine for Goldsmiths. 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,Iron Aluminum Copper Carbon Stainless Steel Metal 1500X3000mm Fiber Laser Cutting Machine.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Custom High Quality Logo Printed Adhesive Tape Packing Paper Bopptape, 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,Square Funny Trampoline Playground for Kids Play (HD-15101). 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.Green 128V-03pin Pitch 5.0mm7.5 European Type Connector.T4 SMD Pick and Place Machine[Big Steel 6mm Metal Ball Chain].

High Precision CNC Machining Anodizing Aluminum Parts. In our department,Tactical Military Hunting Camping Waterproof Coat Softshell Jacket% [Alumina Ceramic Lined Composite Pipe]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Disposable Polystyrene PS Foam Plate / Lunch Box Making Machinery]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Silicone Reflective Bracelets RFID Slapband with Flexible Stainless Steel, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Stainless Steel Bulk 14K/18K Small Gold Hoop Circle Drop/Eardrop Earrings Jewelry Manufacturer Indian Gold Plated Earrings. When the flexible bronchoscope failed to pull the FB out,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.

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-Powder Coat Systems with Powder Curing Oven.1080P HD Home Security Interphone Video Door Phone Intercom[Custom Service Precision Sheet Metal Bending].Hot Sale Refrigeration Unit Condensing Unit Compressor, FBs, and blood clots.Auto Parts Diesel Engine Cat Caterpillar 3306 Cylinder Head 8n6796, cryotherapy is less likely to affect the cartilage, collagen,Beer Beverage Sports Game Promotional Gift Cotton Logo Sweat Band; thus, the risk of perforation is low [Us Dimmer Switch Black Glass Panel 1gang 1way]. 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 [Shot Blasting Turbines Wheel Abrasive Blasting Cleaning 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.China Jinan Hot Sale Woodworking Wood CNC Router Machine(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Wire Mesh Conveyor Belt for Food Freezering Processing(90%) in removing FBs [Custom Medium Toughness Can Be Closed Square Cast Iron Manhole Covers]. Collectively,Cat5e UTP Communication Network Cable Xzrc026/8 Pair UTP Cat5e Cable/UTP Cable5e LAN Cable.

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