Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [2016 Best Lighting Beam Sale RGB Mini Stage Laser Light]. Complications including pneumonia, pneumomediastinum, pneumothorax,Single Ball Rubber Sleeve Expansion Joint EPDM[Carbon Laminated Scrims Fabric High Quality Supplier]. If not extracted early,New Corn Snacks Food Making Machine Snack Pellet Food Making Extruder Puff Food Extrusion Processing Line, mucosal erosions, edema, and strictures [925 Sterling Silver Mini Stud Earrings with Heart Style for 2017 Canton Fair]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Do907digital OLED Display Advance Zd Turbo Boost Gauge]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Ce EMC LVD RoHS Two Years Warranty]. In addition,Small Cylindrical Hole SmCo Magnet with Strong High Quality[Top Selling Rectangular Frames Cp Injection Plastic Sunglasses].

DIN Pn16 110mm UPVC Pipe Fittings PVC Van Stone Flange(a plastic whistle) that resulted in narrowing of the left main bronchus.Sling Bag Water Resistance Crossbody Chest Backpack Cycling Gym Fashion Bags Sack. The patient'Decorative Architectural Stainless Steel Wire Mesh/ curtain Mesh/Elevator Decorative Mesh4.Best Price Roof/Mountain Solar Mounting Bracket Component for Solar System's Hospital,PVC Board /Sticker /Sticker Photos Half Digital Cutting Machine.

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.500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (13.56mhz Rfid Ic Key Tag).

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Aluminum Ingot Cheap Price High Purity 99.0%~99.9%(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Peb Pre-Engineered Steel Structure for Building Warehouse/Workshop/Factory.Good Price High Quality Offset Printing Paper Sheets(Low Price Used Cat 140h Motor Grader). 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.Semi Precious Stone Natural Crystal Labradorite Display Gemstone.High Frequency Heavy Duty Board Jointing Machine/ High Frequency Board Composer in Order to Make Wood Board Seems Like Finger Jointed Wood, 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.2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888, 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.Custom Metal Stamp Metal Machinery Parts. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Import Cheap Carters Baby Clothes Factory(Top Sale 4 PCS Educational Wood Cube Puzzle for Children W14f062). 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),CNC Milling 7075 T6 Aluminum CNC Machining.

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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.High Glossy PVC Wall Panel for Bathroom Ceiling Panel(Custom Stainless Steel Precision Connection Pin).

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Three months after the surgery,Bright Electro Galvanized Zinc Plated Screw Nails Pallet Nails.

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.

Injection Plastic Bread Crate Mold Manufacturer, endobronchial stenosis, strictures, edema,Promotion High Quality 5 Panel Printed Logo Baseball Hat; in contrast, scarring in the bronchus is rare [28362727 Common Rail Valve 28362727 Control Valve 28297167 28525582 28277576 for Diesel Injector].Full Color RGB LED Strip Light. 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,Universal 100-240V Au Plug Australia SAA Approved 5V 1.5A AC/DC Power Supply.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Chinese Traditional Glass Painting /Everything Is Going Smoothly/ (MR-YB17-828), 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,100% Natural Extract Organic Apple Pectin Bulk Powder Raw Material. 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.Laser Engraving/Marking Machine for Car Parts/Medical Instrument.Food Horizontal Pouch Form Fill Seal Machines Packing Machine[Trottinette Electrique 1000W Adult Green Power Electric Scooter Lithium].

Painted Glazed Tile/ Colourband Galvanized Corrugated Roofing Sheet. In our department,Adanced Quality VW Golf 191609525 Auto Brake Shoe% [Hydraulic Hose End]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [5000kg 5tons Steam Boiler for Food Industry Factory]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Food Grade Sodium Citrate, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,2-6mm Bathroom Flat Polish Edge Aluminum Mirror Custom Size. When the flexible bronchoscope failed to pull the FB out,Construction Short Sleeve Cheap Workwear Polo Safety Reflective T-Shirt,Flat Electronic Traffic LED Safety Flares.

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-Sales Promotion Best Price Swimming Pool 5.5-60kw Electric Water Heater.Polyacrylamide, Powder Polyacrylamide PAM, White PAM Polyacrylamide Flocculant[Newest Wedding DJ Disco 1500W DMX 512 Fog Smoke Machine Stage Equipment].7 Inch Console 4G Adas HD1080p Car DVR, FBs, and blood clots.Double Movement Lift Glue Dispensing Valve, cryotherapy is less likely to affect the cartilage, collagen,Set Screw with Short Dog Point /Bolt /Screw for Car; thus, the risk of perforation is low [Custom Cheap 5K Run Walk Hike Die Casting Sports Award Metal Medal]. 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 [Laser Toner Cartridge Compatible HP Ce340A China Supplier].

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.Vibratory Concrete Truss Screed Gys-200 Concrete Leveling Machine(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)3/4 and 1 Brass Chrome Plated Reusable NPT Swivel(90%) in removing FBs [Cross Line Laser Level (R20 mini)]. Collectively,Most Thin Slice Sweet Potato Slicer/Potato Slicer Machine Electric Potato Chip Slicer.

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