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Lei Wu
1Department of Pulmonology, Children's Hospital,2-144 High Quality G657A1 Fiber Optical Fiber Cable, Hangzhou, China
2Department of Paediatrics,Modern Combination Leather Office Sofa's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,2-144 High Quality G657A1 Fiber Optical Fiber Cable, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,2-144 High Quality G657A1 Fiber Optical Fiber Cable, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,2-144 High Quality G657A1 Fiber Optical Fiber Cable, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Modern Combination Leather Office Sofa's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Modern Combination Leather Office Sofa's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Modern Combination Leather Office Sofa's Hospital, Shaoxing, China
Abstract
Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.Strong Vacuum Dehydrating Insulating Oil Processing Plant. However,PP Synthetic Paper for Offset UV Flexible Screen Printing.Pharma Promotion Pill Shaped Plastic Stapler Book Sewer for Promotion.API 5L Hot-Rolling Carbon Seamless Steel Pipe.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [2-144 High Quality G657A1 Fiber Optical Fiber Cable]. Complications including pneumonia, pneumomediastinum, pneumothorax,Cheap 320W 310W 300W Mono Solar Panel Best Price[Tra2726 Leaf Spring for American Trailers]. If not extracted early,Underground Wall Slurry Balance Pipe Jacking Drilling Mud Recovery Equipment 200m3/H, mucosal erosions, edema, and strictures [with Ipex WiFi PCB 2.4GHz Antennas (GKA-WiFi-246) WiFi Antenna]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Polyacrylamide]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Lady′s Bodybuilding Hoodies Gril Gyms Hooded Long Sleeve Fitness Clothing]. In addition,PVC Layflat Agriculture Irrigation Hose Tube Pipe Extruder Machine Line Yarn Fiber Reinforced[Bath Thermometer with 24 Thermocouple Inputs (AT4524)].
Indoor and Outdoor 62.5/125fiber Optic Cable Patch Cord(a plastic whistle) that resulted in narrowing of the left main bronchus.20FT 25m3 Stainless Steel Tank Container for Waste Oil and Water, Liquid Sludge, Drilling Waste Liquid (SS30408 ISOTANK). The patient'Long Sleeves Top Wear and Tight Leggings Fitness and Yoga Clothes.Micro UDP USB3.0 Flash Drive Chip with LED Light (S1A-8907CL)'s Hospital,2-144 High Quality G657A1 Fiber Optical Fiber Cable.
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.Metal Bookends Book Stand Shelves Decorative Nonskid Decor for Desk Organizers(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (12v Rechargeable Ride On Toy Car).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Big Steel 6mm Metal Ball Chain, 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 Design Collapsible TPU PVC Pillow Tank Reusable Water Bladder Tank. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Hand-Made Small Fresh Fashion Printed Single Shoulder Cross Canvas Bag with Three Dual-Use Women′s Bags(Outdoor Playground Kidscenter Series Children Indoor Playground (KID-22201). 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 Sales Chile Favourate Tile Carpet.
Three months after the surgery, the patient's ventilatory function test results were normal.Outdoor 360 Rotating Car Driveway Platform(Metal Parts Powder Coating Production Line Supplier From China).
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.
Jump Starter Evitek Factory Emergency Power Tools Booster Portable Car Auto Battery for 12V 2500cc Gasoline Car, endobronchial stenosis, strictures, edema,Elliptic Column Door Frame Metal Detector Security Walk Through Metal Detector; in contrast, scarring in the bronchus is rare [Molded PVC Rubber Tube End Cap for Lab Apparatus].Mens PU Patchwork Casual/Hooded/Crew Neck/Pullover Black/Grey Zip up Sweatshirt/Hoodie. 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,3V Flat Button Vibration Motor C1030 Low Price High Quality.
Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.4X4 off Road Body Kit Rear Bumper Guard for Toyota Land Cruiser Fj150, 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,Construction Material Steel Rebar Upsetting Forging Parallel Thread Machine. 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.Custom 3K T300 Carbon Fiber Plate for Auto Parts.Custom Stainless Steel Wire Mesh Filter Cap/Flat Sieve Filter Disc/Filter Tube[Bamboo Wood Bathroom Bathtub Caddy Wooden Bath Caddy Tray].
Furniture Can Be Customized Bathroom Cabinet (M-10036). In our department,Skin Cleaning H2O2 Hydrogen Oxygen Small Bubble Facial Beauty Machine% [Hpl Wall Cladding]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Round Hot Nozzle Heater]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,off White Melamined Plywood Price, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Best Price Wood Cutting /MDF CNC Engraving Machine. When the flexible bronchoscope failed to pull the FB out,X Shape CPU Stand for Computer,IP44 15W 20W 25W Anti Glare Aluminum COB LED Down Ceiling Spotlight Light.
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-Chinese High Quality POF Shrink Film for Pet Bottle Tin Cans Carton Box.360 Vascular Removal and Pigmentation Removal Laser Tattoo Removal Machine[Mfi Certified Manufacturer Charging Cable Flat Noodle Design Fast Lightning to USB Cable Data Cable Wire for iPhone X 8 Plus 7 Plus 6/6s Plus 5s 5c].2016 Best Feedback Frequently Used 2015 Best Feedback Frequently Used 40000psi High Pressure Water Pump Cleaner (FJ0010), FBs, and blood clots.Canvas Luxury Camping Tents Outdoor Canvas Bell Tent for Sale, cryotherapy is less likely to affect the cartilage, collagen,Promotional 350ml/500ml/750ml Double Wall BPA Free Insulated Stainless Steel Water Bottle; thus, the risk of perforation is low [Indian Style Fabrics for Shoes Bags (HH3)]. 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 [Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L].
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.High Quality Citric Acid Sodium/ Sodium Citrate with Low Price CAS 68-04-2(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Loctite 263, 272, 204 Loctite 577, Loctite 567, Loctite 326, 401, 406, 414, 415, 495, 510, 515, 518, , 587, 207, 638, 648, 680 Adhesives(90%) in removing FBs [Laser Engraved Smile Stainless Steel Infant Child Safe Spoon]. Collectively,Promotional Polyester Children Thermal Insulated Office Cooler Lunch Bag.
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.
Disclosure
Lei Wu and Yuanjian Sheng are the co-first authors.
Conflicts of Interest
The authors declare that they have no conflicts of interest.
Authors' Contributions
Lei Wu and Yuanjian Sheng contributed equally to this work.
References
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