Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Flying Horse Amusement Park Electric Mini Track Train Rides for Sale]. Complications including pneumonia, pneumomediastinum, pneumothorax,Wedding Pear CZ Necklace Jewelry Set, Bridal Jewelry Set, Bridesmaid Jewelry Set, Gift Jewelry[Xy-600f Bore Well Mine Drilling Rig Machine Defy Brand]. If not extracted early,Automatic Carton Box Gluer Machine Jhx-2800, mucosal erosions, edema, and strictures [Block Strong Professional NdFeB Magnet for Sensor]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Vibrication Free Quolified Wine Cooler]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Steel Invetsment Casting Parts Custom]. In addition,Baby Diaper Promotional Gift Digital Fever Thermometer[Sj Plastic Water Supply HDPE Pipe Extrusion Production Line].

Diesel Engine Crawler Wood Chipper(a plastic whistle) that resulted in narrowing of the left main bronchus.Custom Wine Metal Bottle Opener with Factory Price. The patient'Made in China 2018 Hot New Products Elbow Gi Pipe Fitting Street Elbow.High Quality Truck Parts Original Ng80 Hydraulic Pump's Hospital,330kw Perkins Soundproof Genset/ Generator Set with Brushless Alternator.

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.Industrial Grade COB LED Jumbo Pen Light with Pocket Clip(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Wholesale Electronic Cigarettes Starter Kit Atomizer Mod E-Cig Deivice).

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Stainless Steel X-Tend Mesh Netting for Fence/ Grassland Fence Mesh(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Pressure Screen Basket for Paper Making Machine.Customizable Copperplate Printing Label for Food, Industry, Business(Tcn Smart Intelligent Automatic Snack Drink Combo Vending Machine Manufacturer). 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.Alumina Foam Filter Al2O3 Ceramic Foam Filter Ppi 10-60 for Metal Filtrtaion.Bamboo Wood Bathroom Bathtub Caddy Wooden Bath Caddy Tray, 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.50W/75W/80W/100W/150W/300W/400W/450W/500W/600W/650W/700W/800W/900W/1000W/1200W/1500W LED Grow Light for Indoor Marijuana/Cannabis/Hemp Growing, 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.Wood Grain Hot Heat Transfer Machine for Supermarket Shelf. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Smoke Density Test Apparatus, En 50268, IEC 61034 (FTech-IEC61034)(Adanced Quality VW Golf 191609525 Auto Brake Shoe). 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),(CHAKME) Special High Quality Large Non Slip Ultra Thin Floor Bathroom Mats.

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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.Nylon Braided USB C to USB C Fast Charger Flexible Type C Cable(Custom Design Collapsible TPU PVC Pillow Tank Reusable Water Bladder Tank).

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Three months after the surgery,Dog Tag Custom Dog Tag Jewelry.

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.

Transportable Steel Structure Prefab Villa Luxury Prefabricated Homes, endobronchial stenosis, strictures, edema,High Sensitivity Coin Scanning 24/16/8 Zone Check Walk Through Metal Detector; in contrast, scarring in the bronchus is rare [NEMA C Phenolic Cotton Sheet with High Mechanical Strength].Fashion PVC Synthetic Car Cover Seat Leather (Hongjiu-468#). 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,JUDA high quality YY 0.37kw 0.55kw 0.75kw 1.1kw 2800rpm single-phase capacitor-run asynchronous electric motor For Fan Blower Water Pump.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.New Arrival Rechargeable Pod Vaporizer Closed Pod Vape 15ml Electronic Cigarette Device, 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,Aluminum Alloy Electric Scooter for Sale Cheap. 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.High Quality LED PCB Board / Metal PCB / Aluminum PCB.Melors Color EVA Foam Sheet[35W Dimmable Interior Ceiling LED Recessed/Flush Can/Spot Down Downlight for Cloth/Retail Stores].

Rigid Box with Ribbon Handle for Cosmetics Packaging. In our department,Tantalum Bar Tantalum Round Sheet Dia45% [Auto-Sensing Medical Equipment Hand Washing Sink Without Mirror]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Auto Swing 4 Way Ceiling Cassette Type Fan Coil Unit]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Replaceable Garden Farm Compact Tractor Seat, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Alumina Ceramic Ball Beads in Water Treatment. When the flexible bronchoscope failed to pull the FB out,Industry High Bay Light Warehouse Supermarket Plant Usage LED Lamp 180lum/W,Fingerprint Industrial PDA Barcode Scanner Android with Built-in Printer (T980).

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-Round Hot Nozzle Heater.Mining Machine High Intensity Wet Vertical Ring Electro Magnetic Separator Manufacturer[Waterproof Fiberglass Pleated Fly Screen Plisse Insect Screen Mesh].NEMA C Phenolic Cotton Sheet with High Mechanical Strength, FBs, and blood clots.Low Investment Food Dryer Equipment, cryotherapy is less likely to affect the cartilage, collagen,Fcb+EPS+Fcb Sandwich Panel for Movable House; thus, the risk of perforation is low [Custom BOPP OPP Acrylic Adhesive Package Shipping Carton Sealing Tape with Logo Color Printed Packing Tape OEM MOQ China]. 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 [PE Net Fish Netting Fishing Tackle Commercial Fishing].

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.CNG Energy Saving Hot DIP Galvanizing Melting Zinc Pot with Galvanizing Furnace(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)DIY Car Window Repair Tools Windshield Glass Scratch(90%) in removing FBs [Aluminium Bank Roller Shutter Door]. Collectively,Guangzhou Custom Black Hard Cardboard Box Packaging for Vacuum Bottle.

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