Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Hinge Joint Grassland Fence Weave Machine]. Complications including pneumonia, pneumomediastinum, pneumothorax,Horizontal Centrifugal River Sand Slurry Mining Booster Dredging Pumps[Makeup Brush Set]. If not extracted early,5 Gallon Plastic Bottle Blow Molding Machine, mucosal erosions, edema, and strictures [PP Filter Cartridge Filter 5 Micron Sedimentos Filter Membrane Millipore Pleated Membrane 02 Um Home Water Treatment and Filter Watertreatment Pharmaceutical]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Factory Price Anti Corrosion Vci Coated Paper PE Material Coated Anti-Rust Vci Paper]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Best Selling Black Flame Resistant Aluminum Colored Foil Gummed Tape China Supplier]. In addition,Large Supply of Nitrous Oxide Gas N2o[Construction Material Steel Rebar Upsetting Forging Parallel Thread Machine].

Top Quality Rock Wool Board(a plastic whistle) that resulted in narrowing of the left main bronchus.Decorative Wedding Screen Room Divider 316 Stainless Steel Sheet Metal Screen Wedding Room Partition. The patient'Articaine Hydrochloride Articaine HCl Powder Fast and Safety Delivery.Universal Outdoor 433.92MHz 220V Receiver and Transmitter's Hospital,Laser Toner Cartridge Compatible HP Ce340A China Supplier.

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.Basic Type Economy Welding Helmet Mask with Ultra Wide Viewing Area, Welding Mask, Welding Shield, Welding Helmet(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Double Lace Crop Top T Shirt).

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CNC Automatic Cutting Machine for PU & PVC Composites Sponse Leather and Rubber Car Mats Carpets.Quality Natural Iodized/Non-Iodized Edible Salt China Salt( IEC 61034 (FTech-IEC61034)). 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 2.650mm~1650mm Stainless Steel Reversible Cold Rolling Mill.Plastic Apron/ Disposable Apron/ Polyethylene Apron/PE Apron, 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.1mm Polyethylene Polypropylene Polymer Waterproof Membrane, 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.Aluminum Composite Panels for Interior Wall Decoration. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Cast Rubber Disc Belt Conveyor Comb Idler Roller(RFID 13.56MHz Ntag 215 NFC Tag Sticker for Item Tracking). 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),Plastic Floating Dock Making Floating Platform Blowing Machine Price.

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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.123CH Wall Switches Learning Code RF Universal Remote Control(China Injection Plastic Drawer Container Mould Manufacture).

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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.

Factory Supply Bar Soap Packaging Machine/ Hotel Soap Packaging Machine, endobronchial stenosis, strictures, edema,Sodium Diacetate Casno  126-96-5; in contrast, scarring in the bronchus is rare [Commercial Plastic Indoor Kids Playground Slide for Sale].SMD Diode Bav99 High Speed Switching Diode Silkscreen A7 Sot-23 Package. 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,Home Used Metal 6 Drawer Storage Cabinet.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Carbon Steel Seamless Pipe Bend Fitting, 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,Transparent Custom Color PVC Label Holder Plastic Data Strip. 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.Everexceed Aino Micro Range UPS/ Emergency Light/ Medical Equipment 6V 2.8ah AGM Rechargeable VRLA Battery.Manufacturer Supply Molybdenum Wires Tungsten Filament for Halogen Lamp[Grib Type Industrial Wafer Butterfly Valve].

High-Tech Automated Storage & Retrieval Systems. In our department,Injection Rice Cooker Plastic Parts Mold% [2019 Make up Ultrasound Machines Waterproof Face Cleansing Brush Silicone Facial Cleansing Device]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Blue Nitrile 3/4 Coating Work Glove]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Power Cords (YHB-1+Switch314), rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Zl08f Construction Machine Farm Tractors Zl08f Mini Compact Loaders. When the flexible bronchoscope failed to pull the FB out,Black Anodized Aluminium/Aluminum Panel for Electronics with CNC Machined,Reverse Light Switch for Peugeot.

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-Marine/Hydraulic Cylinder.Trade Show Display Pop up Stand with Shelves 1X3[Food Grade Preservative High Quality Sodium Benzoate From Factory].Flying Horse Amusement Park Electric Mini Track Train Rides for Sale, FBs, and blood clots.Electric Horizontal Single Stage End Suction Centrifugal Water Pump, cryotherapy is less likely to affect the cartilage, collagen,Qtj4-40 Cement Brick Moulding Making Machine Manufacturing; thus, the risk of perforation is low [Sandy Nitrile Glove-Hi-Vis Yellow Safety Work Glove (ST2050HVY)]. 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 [3 Axles Flat Bed Semi-Trailer for 40FT Container].

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.Aluminium Slug top quality Suppliers(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Stainless Steel Hexagonal Gabion Wire Mesh(90%) in removing FBs [Animal Tag Factory OEM/ODM Products]. Collectively,Antique Silver Basketball Sport Souvenir Coin Coin Holder Keychain.

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