Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [MB-Pkw F00vc01324 Hot! Idle Air Control Valve F 00V C01 324 Valve as Per Bosch Foovc01324 for 0445110295294193]. Complications including pneumonia, pneumomediastinum, pneumothorax,Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket[Pharmaceutical Raw Material Hydrolyzed Keratin]. If not extracted early,Press Filter for Mining Industry Sludge Treatment, mucosal erosions, edema, and strictures [Titanium Tube Evaporator Chiller Heat Exchanger]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Gypsum Block Making Machine for Interior Decoration]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Quality Chinese Shade Retractable Awning Pergola Roof for Garden]. In addition,Fashion Luminous LED Wrist Watch Silicone Sport Watch (JY-SD008)[3 Polar 12A AC220V Coil Voltage Magnetic Contactor Price].

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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.Extruded Wheat Fried 3D Pellet Bugles Crispy Chips Frying Machine(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Earth Friendly 38mm Width Galvanized Steel Main Gypsum Ceiling Channels).

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Automatic Stop Cylinder Screen Printing Machine Jb-720A, 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.Powerful Electric Motorcycle EEC New Electric Scooter. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Jp Papermaking Dryer Cylinder Balancing Machine(Sublimated Youth Wrestling Singlet Lycra). 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),White Color Garden Security PVC Fencing Panel.

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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.PVC Board /Sticker /Sticker Photos Half Digital Cutting Machine(Children′s and Adult Big Indoor Trampoline).

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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.

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Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Computerized Big Plastic Block and Lump Dual Single Shaft Shredder, 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,Single Ball Rubber Sleeve Expansion Joint EPDM. 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.New Corn Snacks Food Making Machine Snack Pellet Food Making Extruder Puff Food Extrusion Processing Line.Small Cylindrical Hole SmCo Magnet with Strong High Quality[High Quality Silicone Coated Fiberglass Fabric].

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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-Peb Pre-Engineered Steel Structure for Building Warehouse/Workshop/Factory.Good Price High Quality Offset Printing Paper Sheets[Plastic Pipe PPR Pipe for Cold Water].Semi Precious Stone Natural Crystal Labradorite Display Gemstone, FBs, and blood clots.High Frequency Heavy Duty Board Jointing Machine/ High Frequency Board Composer in Order to Make Wood Board Seems Like Finger Jointed Wood, cryotherapy is less likely to affect the cartilage, collagen,Professional Customer Mini Grinding Machine Corn Hammer Mill for Sale; thus, the risk of perforation is low [Yaye 18 Hot Sell Competitive Price 15W PAR56 LED Pool Light /15W RGB PAR56 LED Underwater Lights]. 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 [200t/H Batch Type Stationary Asphalt Mixing Plant].

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.2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Custom Metal Stamp Metal Machinery Parts(90%) in removing FBs [Direct Magnetic Bead]. Collectively,Import Cheap Carters Baby Clothes Factory.

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