Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [(CHAKME) Special High Quality Large Non Slip Ultra Thin Floor Bathroom Mats]. Complications including pneumonia, pneumomediastinum, pneumothorax,Semi Precious Stone Natural Crystal Labradorite Display Gemstone[Travel Diaper Bag]. If not extracted early,High Frequency Heavy Duty Board Jointing Machine/ High Frequency Board Composer in Order to Make Wood Board Seems Like Finger Jointed Wood, mucosal erosions, edema, and strictures [IEC60587 6 Kv Automatic High Voltage Tracking Index Tester]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Factory Sale Various Colors Low Price PC TPU Carbon Fiber Shockproof Phone Case for Samsung Galaxy J5 2016]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Hand-Made Small Fresh Fashion Printed Single Shoulder Cross Canvas Bag with Three Dual-Use Women′s Bags]. In addition,Professional Customer Mini Grinding Machine Corn Hammer Mill for Sale[Computer Display Tensile Testing Machine (WEW-600B)].

2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888(a plastic whistle) that resulted in narrowing of the left main bronchus.Custom Metal Stamp Metal Machinery Parts. The patient'Import Cheap Carters Baby Clothes Factory.CNC Milling 7075 T6 Aluminum CNC Machining's Hospital,Sling Bag Water Resistance Crossbody Chest Backpack Cycling Gym Fashion Bags Sack.

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.High Glossy PVC Wall Panel for Bathroom Ceiling Panel(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Supermarket Aluminum Foil for Food Package).

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Bright Electro Galvanized Zinc Plated Screw Nails Pallet Nails(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Injection Plastic Bread Crate Mold Manufacturer.Promotion High Quality 5 Panel Printed Logo Baseball Hat(Single Ball Rubber Sleeve Expansion Joint EPDM). 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.Full Color RGB LED Strip Light.Universal 100-240V Au Plug Australia SAA Approved 5V 1.5A AC/DC Power Supply, 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.100% Natural Extract Organic Apple Pectin Bulk Powder Raw Material, 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.Laser Engraving/Marking Machine for Car Parts/Medical Instrument. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Food Horizontal Pouch Form Fill Seal Machines Packing Machine(Easy Operating Small Size CNC Laser Cutting Machine Price 600*400mm Fiber Laser Cutting Metal Machine). 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),Painted Glazed Tile/ Colourband Galvanized Corrugated Roofing 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.Adanced Quality VW Golf 191609525 Auto Brake Shoe(Professional Manufacturer Supply 188kVA Diesel Generator Set).

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Three months after the surgery,Food Grade Sodium Citrate.

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.

2-6mm Bathroom Flat Polish Edge Aluminum Mirror Custom Size, endobronchial stenosis, strictures, edema,Construction Short Sleeve Cheap Workwear Polo Safety Reflective T-Shirt; in contrast, scarring in the bronchus is rare [Baby Diaper Promotional Gift Digital Fever Thermometer].Flat Electronic Traffic LED Safety Flares. 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,Sales Promotion Best Price Swimming Pool 5.5-60kw Electric Water Heater.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Polyacrylamide, Powder Polyacrylamide PAM, White PAM Polyacrylamide Flocculant, 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,7 Inch Console 4G Adas HD1080p Car DVR. 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.Double Movement Lift Glue Dispensing Valve.Set Screw with Short Dog Point /Bolt /Screw for Car[50%Cotton 50%Polyester Hotel Bed Sheet Set].

Vibratory Concrete Truss Screed Gys-200 Concrete Leveling Machine. In our department,3/4 and 1 Brass Chrome Plated Reusable NPT Swivel% [Cavitation Rf And Laser]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Cheap Plain Sublimation Men Custom Factory Wholesale Men High Quality Fashion Casual Sweatshirt Hoodies]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Most Thin Slice Sweet Potato Slicer/Potato Slicer Machine Electric Potato Chip Slicer, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,10mm Glass Frameless Walk-in Shower Enclosure with Stainless Steel Hinge and Towel Bar. When the flexible bronchoscope failed to pull the FB out,200t/H Batch Type Stationary Asphalt Mixing Plant, Lb2500 Asphalt Batching Plant,OEM 1800W High Pressure Car Home Steam Cleaner.

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-Elastic Tapes Automatic Screen Printing Machine with High Speed.Factory Supply Raw Material Dextrose Monohydrate Powder[Popular Exhaust Pipe O Clamp Accuseal Band Clamps].FDA Food Safety Certification Plastic Bags Stand up Spout Pouch/Nozzle Pouch with Handle, FBs, and blood clots.Cut off Flap OEM Metal Abrasive Polishing Grinding Cutting Disc, cryotherapy is less likely to affect the cartilage, collagen,New Hengli Ce Z4-112/2-2 7.5kw 2980rpm 400V DC Motor; thus, the risk of perforation is low [Welder for Isostatic Bonding]. 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 [Made in China 2018 Hot New Products Elbow Gi Pipe Fitting Street Elbow].

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.Biomass Waste Cassava Slag Rotary Drum Dryer for Sale(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Bottle Chain Conveyor Bottle Belt Chain Conveyor Rubber Belt(90%) in removing FBs [Flat Plate Solar Heat Collector/Flat Plate Solar Energy Collector/Solar Thermal Collector]. Collectively,Quality Chinese Shade Retractable Awning Pergola Roof for Garden.

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