Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Square Funny Trampoline Playground for Kids Play (HD-15101)]. Complications including pneumonia, pneumomediastinum, pneumothorax,High Efficient Automatic Soldering Machine with Competitive Cost for Mobile Phone[Glass Wall Light Manufacturers Cheap Price]. If not extracted early,Textured Channel Embossing Plastic Vacuum Packing Pouch, mucosal erosions, edema, and strictures [Drawing Die of Wheelbarrow Trolley]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Custom Magnetic Strip 125kHz 13.56MHz RFID Chip Card]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [1kw/2kw/3kw/4kw Stainless Steel Sheet Metal Fiber Laser Cutting Machine]. In addition,High Quality 25W 30W 35W COB LED Wall Washer Track Light with Dimmable[2016 Best Feedback Frequently Used 2015 Best Feedback Frequently Used 40000psi High Pressure Water Pump Cleaner (FJ0010)].

Factory Supply Best Quality Pem Ozone Generator for Air Space Disinfection(a plastic whistle) that resulted in narrowing of the left main bronchus.Cast Iron Bistro Table Base Vintage Fancy Table Leg. The patient'High Quality Custom Metal Keyring Bottle Opener (Ele-BO018).2.0MP 1080P HD 3G 4G SIM Card WiFi Wireless CCTV IP Camera with Bulit in Battery P2p Network Video Home Security's Hospital,Perfect China Hardware Supplier Carbon Steel /Stainless Steel Pressing Parts.

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.Light Duty Metal Pegboard Counter Top Cell Phone Accessory Display Stand with Hooks(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (www.yuyancable.com).

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Hongri Boron 65mn Steel More Durable Disc Blade Disk for Agricultural Tractor Harrow Plough, 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.Fancy Crystal Whiskey Glass Drinking Glass Cup. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Filler Masterbatch Making Extruder with Capacity 300kg Per Hour(Pharmaceutical Automatic Powder Filling Capsule Machine Size 0). 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),The Best Material for Building, PPGI/PPGL Steel Coil/Sheet.

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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.Top Quality Wear-Resisting Submersible Vertical Industrial Coal Mining Dredge Portable Concrete Slurry Centrifugal Water Pump(Home Furniture Body Care Massage Chair for Therapist).

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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.

Casual Ultra Lightweight Knit Fashion Sport Shoes for Men Women, endobronchial stenosis, strictures, edema,Hot Selling Red Wine Glass for Hotel and Restaurant; in contrast, scarring in the bronchus is rare [High Rise Multi-Story Prefab Steel Frame Steel Structure Tourist Center Public Building].Natural Polished French Beige Marble for Wall Table Countertop Floor Bathroom Kitchen. 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,Motion Detection Car Wireless Camera WiFi Car Camera Car Night Vision Camera HD Portable Video Recorder Car DVR Dash Cam Car Camera.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Top Selling Rectangular Frames Cp Injection Plastic Sunglasses, 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,12-96 Core Fiber Optic Splice Closure Optical Fiber Joint Box. 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.XCMG HDD Xz400 Underground Horizontal Directional Pipe Drilling Machine.Cheap Electric Fireplace Insert Heater Free Standing Fireplace Mantel MDF Wood[China Manufacturer Factory Price 6kw Electric Power Generator].

11.0mm Concrete Wire Saw/Diamond Wire Saw/Diamond Tool. In our department,Food Additive CAS 121-33-5 Vanillin 99.8%% [Military 900d Nylon Multi-Pockets Module-System Multicam Tactical Vest]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Metal Cold Steel Forging Hammer for Auto Accessory]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,BOPP Transparent Hot Melt Packaging Tape for 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 Quality Granite Cube Stone/Cobble Stone with Cheap Price. When the flexible bronchoscope failed to pull the FB out,Football Team Scarf for Fans Cheering,7 Truck Reverse Camera Safety System for Train, Tractor, Police Cars, Excavator.

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-Manufacture Waterproof 120W LED High Bay Light with Dlc Listed.Mobile Sport Twins Mini Earbud Stereo Bt Wireless Earbuds for iPhone Earphone I7 Tws I7s[Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags].Hot Galvanized Solar Engergy PV Mounting Support Structure, FBs, and blood clots.First Class Tungsten Copper Foil, Tungsten Copper Sheet, Tungsten Copper Plate, cryotherapy is less likely to affect the cartilage, collagen,China Large Size 3D Printer Full Enclosed Metal Framework 600X600X600 mm Printing Size 3D Printer Larger D600; thus, the risk of perforation is low [Endoscopy C Mount Camera Coupler F15~F25 Ajustable for Rigid Endoscope Sinuscope Cystoscope]. 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 [Electric Pizza Maker with Temperature Controller].

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.Light Gold Bag Fittings Decoration Part of Hangbag Hardware(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Customize Luxury Packaging Handmade Wine Box PU Leather(90%) in removing FBs [Aluminum Window and Door in Building Materials with Glazing and Fly Screen]. Collectively,Thick Pull up Fitness Custom Logo Resistance Loop Bands.

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