Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Wire Mesh Conveyor Belt for Food Freezering Processing]. Complications including pneumonia, pneumomediastinum, pneumothorax,40W Aluminum Die-Casting Street Light LED Housing Stubby Light[Custom Made Metal Enclosure Aluminum Sheet Metal Case]. If not extracted early,Magnetic Water Treatment for Reducing Hardness, mucosal erosions, edema, and strictures [800*480 Resolution 8.0 TFT LCD Screen with Brightness 450 CD/M2]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Antique Silver Basketball Sport Souvenir Coin Coin Holder Keychain]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Hot Dip Galvanized Steel Structure Solar Ground Mounting Brackets for Panel Support]. In addition,P15.6 Full Color Transparent LED Display Screen for Facedes Barnd Marketing[Automatic Milk Fruit Juice Tomato Sauce Gear Pump Filler (GPF-400A)].

Lithium Battery LED Solar Street Lighting Automatic(a plastic whistle) that resulted in narrowing of the left main bronchus.Roller Through Type Shot Blasting Machine for Round Steel. The patient'Thermal Insulated Lunchboxes Square Shape Lunch Box.Knuckle Boom Cargo Ship Deck Crane Series's Hospital,201 202 310 Grade Large Diameter Stainless Steel Pipe.

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.Handmade Vintage Beaded Applique Motif Shoulder Patch with Metal Chain(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Wholesale China Custom Logo 3D Rubber Refrigerator Magnet Silicone Cartoon Half Cat Fridge Magnet).

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Nichrome Wire Mesh Screen for Desalination Instruments.Pear-Shaped Super Flint Glass Transparent 1000ml Spirit Wine Bottle(Food Grade Sodium Citrate). 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.Construction Machinery Liugong 5 Ton Clg856 Cummins Engine Telescopic Front End Wheel Loader.Planetbio Hot Sale Gamma Poly Glutamic Acid, 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.One Color EVA Plastic Foaming Shoes Slipper Sandal Molding 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.High Pressure Agricultural Irrigation Flexible Pump Water Discharge PVC Yellow/Blue/Red Lay Flat Pipe. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,10.4 Inch All-in-One Fanless Embedded Industrial Touch Panel PC Wince 6.0 Tablet PC(Good Price High Quality Offset Printing Paper Sheets). 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),Small Order Custom Precision CNC Precision Turning Machining Stainless Steel/Brass/Titanium/Aluminum Steering Wheel Spacer Parts.

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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.Yaye 18 Hot Sell Competitive Price 15W PAR56 LED Pool Light /15W RGB PAR56 LED Underwater Lights((CHAKME) Special High Quality Large Non Slip Ultra Thin Floor Bathroom Mats).

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Three months after the surgery,Newest Wedding DJ Disco 1500W DMX 512 Fog Smoke Machine Stage Equipment.

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.

Outdoor Playground Kidscenter Series Children Indoor Playground (KID-22201, CD-07X), endobronchial stenosis, strictures, edema,Electric Luxury Foot Massage Manicure Pedicure SPA Chair; in contrast, scarring in the bronchus is rare [Factory Sale Various Colors Low Price PC TPU Carbon Fiber Shockproof Phone Case for Samsung Galaxy J5 2016].AC90 Aluminum Alloy Conductor Interlocked Armoured Cable. 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,Hot Energy Saving Vertical Preheater for Magnesium Product Line.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Manufacturer Offer High Quality Cute Cartoon Bedclothes Comforter Bedding Sets for Kids, 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,Fashion Jewelry 925 Silver Brooch with Freshwater Pearl for Women/Girl/Kids. 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.Metal Parts Powder Coating Production Line Supplier From China.Stock Popular and High Quality Acetate Optical Eyewear Frames Eyeglasses Sm2004[Hand-Made Small Fresh Fashion Printed Single Shoulder Cross Canvas Bag with Three Dual-Use Women′s Bags].

Big Size Notebook Edp LCD Display Screen for TV, Laptop. In our department,Cystoscopy Urology Endoscope Hospital Equipment Cystoscopy Urology Surgical Instruments Endoscope Camera% [German Embossed Worm Gear Hose Clamp with Adjust Range 8-12mm to 160-180mm]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Computer Display Tensile Testing Machine (WEW-600B)]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Snapmaker High Quality Metal 3D Printer /3D Printer Machine, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,High Hardness 20mm to 150mm Forged Grinding Steel Balls. When the flexible bronchoscope failed to pull the FB out,Gold Supplier Epoxy Resin Injection Machine,Gypsum Block Making Machine for Interior Decoration.

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-Mining Lamp Charger with 4.56V DC Output Voltage.Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags[10 Sicoma Manual Butterfly Valve].with Ipex WiFi PCB 2.4GHz Antennas (GKA-WiFi-246) WiFi Antenna, FBs, and blood clots.COB LED Street Light Cover Mlt-Slh-as-I, cryotherapy is less likely to affect the cartilage, collagen,Shenzhen 1-20 Layer Rigid PCB Electronics Manufacturing; thus, the risk of perforation is low [Single Ball Rubber Sleeve Expansion Joint EPDM]. 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 [Furniture Unique Antique Industrial Aluminum Cabinet TV Stand].

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 Factory Sell Ck350 CNC Pipe Threading Lathe(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Diamond Saw Blade for Cutting Granite, Marble, Concrete, Asphalt, Wall, Stone, Ceramic(90%) in removing FBs [Glass Tempering Rollers Series]. Collectively,Waste Oil Recycling Machine/Used Oil Recycling /Oil Refining Plant.

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