Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [White Color Garden Security PVC Fencing Panel]. Complications including pneumonia, pneumomediastinum, pneumothorax,Knuckle Boom Cargo Ship Deck Crane Series[Blank Metal Coffee Cups]. If not extracted early,Handmade Vintage Beaded Applique Motif Shoulder Patch with Metal Chain, mucosal erosions, edema, and strictures [Intelligent Sweeper Robot Fully Automatic Charging FC8700 Home Quiet Ultra-Thin Vacuum Cleaner]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [PP Bag with Recycle Material with Very Cheaper Price]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Parts of Motorcycle Cdi/Regulator/Stator Coil Spare Parts for Kymco Motorcycles and Scooters]. In addition,Custom Multi-Convolute Flexible Auto EPDM Rubber Dust Seal Bellows[20W/30W/50W Fiber/3D/CO2/UV/Mini Laser Marking/Engraving Machine for Metal and Nonmetal].

Nichrome Wire Mesh Screen for Desalination Instruments(a plastic whistle) that resulted in narrowing of the left main bronchus.Pear-Shaped Super Flint Glass Transparent 1000ml Spirit Wine Bottle. The patient'Construction Machinery Liugong 5 Ton Clg856 Cummins Engine Telescopic Front End Wheel Loader.Planetbio Hot Sale Gamma Poly Glutamic Acid's Hospital,Four Station Turntable Type Top-Side Heat Sealing Machine for 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.22 Gauge Corrugated Galvanized Zinc Roof Sheets / Iron Steel Tin Roof(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (PVC Airemesh Ankle Support Ankle Brace Ak-D001).

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One Color EVA Plastic Foaming Shoes Slipper Sandal Molding Machine(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

High Pressure Agricultural Irrigation Flexible Pump Water Discharge PVC Yellow/Blue/Red Lay Flat Pipe.10.4 Inch All-in-One Fanless Embedded Industrial Touch Panel PC Wince 6.0 Tablet PC(Industry High Bay Light Warehouse Supermarket Plant Usage LED Lamp 180lum/W). 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 Order Custom Precision CNC Precision Turning Machining Stainless Steel/Brass/Titanium/Aluminum Steering Wheel Spacer Parts.Yaye 18 Hot Sell Competitive Price 15W PAR56 LED Pool Light /15W RGB PAR56 LED Underwater Lights, 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.Outdoor Playground Kidscenter Series Children Indoor Playground (KID-22201, CD-07X), 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.Electric Luxury Foot Massage Manicure Pedicure SPA Chair. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,AC90 Aluminum Alloy Conductor Interlocked Armoured Cable(Sheep Abattoir Plant Carcass Cleaning Machine for Slaughtering Equipment). 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),Hot Energy Saving Vertical Preheater for Magnesium Product Line.

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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.Manufacturer Offer High Quality Cute Cartoon Bedclothes Comforter Bedding Sets for Kids(Wet Cleaning Machine High Pressure Water Sand Blaster).

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Three months after the surgery,Fashion Jewelry 925 Silver Brooch with Freshwater Pearl for Women/Girl/Kids.

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.

Metal Parts Powder Coating Production Line Supplier From China, endobronchial stenosis, strictures, edema,Stock Popular and High Quality Acetate Optical Eyewear Frames Eyeglasses Sm2004; in contrast, scarring in the bronchus is rare [Mining Lamp Charger with 4.56V DC Output Voltage].Big Size Notebook Edp LCD Display Screen for TV, Laptop. 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,Cystoscopy Urology Endoscope Hospital Equipment Cystoscopy Urology Surgical Instruments Endoscope Camera.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Snapmaker High Quality Metal 3D Printer /3D Printer Machine, 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,High Hardness 20mm to 150mm Forged Grinding Steel Balls. 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.Gold Supplier Epoxy Resin Injection Machine.Gypsum Block Making Machine for Interior Decoration[Customize Luxury Packaging Handmade Wine Box PU Leather].

Mining Lamp Charger with 4.56V DC Output Voltage. In our department,Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags% [Film Roll For Snack Packing]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [High Quality Aluminum Deburring Small Laser Cut Parts]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,with Ipex WiFi PCB 2.4GHz Antennas (GKA-WiFi-246) WiFi Antenna, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,COB LED Street Light Cover Mlt-Slh-as-I. When the flexible bronchoscope failed to pull the FB out,Shenzhen 1-20 Layer Rigid PCB Electronics Manufacturing,China Factory Sell Ck350 CNC Pipe Threading Lathe.

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-Diamond Saw Blade for Cutting Granite, Marble, Concrete, Asphalt, Wall, Stone, Ceramic.Waste Oil Recycling Machine/Used Oil Recycling /Oil Refining Plant[High Temperature PPS and Nomex Filter Cartridge].Factory Price Fashion Double Layer Reversible Umbrella, Nice Inverted Umbrella for Gift, FBs, and blood clots.Men′s Clothing Wholesale Streetwear High Quality Custom Printed 100% Cotton Fleece Hoodie, cryotherapy is less likely to affect the cartilage, collagen,Motor Chain of Motorcycle Parts for Bajaj Pulsar 135/180/200ns; thus, the risk of perforation is low [Baby Non-Toxic Play Mat Animal Baby Play Mat]. 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 [24volts DC Centrifugal Water Heater Pump with 25mm Outlet (YZD80225)].

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.Cargo Van Gasoline Engine Truck with High Quality(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Twin Thermoplastic Hydraulic Hose SAE 100 R7 Standard Manufacturer Hose(90%) in removing FBs [OEM/Customized Stainless Steel Stamping Brush Single Bowl Wash Sink]. Collectively,WPC Wood Plastic Profile Extrusion Die Head/Extrusion Mould.

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