Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven]. Complications including pneumonia, pneumomediastinum, pneumothorax,Custom Ladies Perspex Pumps Sexy Women Party High Heels Shoes[OEM/ODM Precision Aluminum CNC Machining Parts for Electric Appliance]. If not extracted early,Hydraulic CNC Press Brake Machine with Tooling Mould Holder Dies Blades Foot Pedals Switch and Multi V Block, mucosal erosions, edema, and strictures [5 Gallon Plastic Bottle Blow Molding Machine]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Conveyor Plates Bimetallic Chromium Carbide Wear Resistant Steel Plate]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [LED Garden Light 56W with Post Top Mounted]. In addition,Linear Motion Guide Various Models Linear Guide Ball Screw Drawer Slide Rail[SMD Diode Bav99 High Speed Switching Diode Silkscreen A7 Sot-23 Package].

Commerical Bakery Cake Display Cooler with Ce, CB, Saso(a plastic whistle) that resulted in narrowing of the left main bronchus.Handheld Car Vacuum Cleaner DC 12V 120W Mini. The patient'Rectangular Shape PVC Material Custom Clear Plastic Table Cover.High Torque Electrical DC Stepping Motor for Monitor/Oven/Printer's Hospital,Polished Bright AISI 304 Seamless Stainless Steel Tube.

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.925 Sterling Silver Mini Stud Earrings with Heart Style for 2017 Canton Fair(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Mobile Restaurant Food Kiosk Trailers for Sale).

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Ocean Star Arcade Shooting Electric Fishing Game Machine(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Square Funny Trampoline Playground for Kids Play (HD-15101), 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.Green 128V-03pin Pitch 5.0mm7.5 European Type Connector. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,T4 SMD Pick and Place Machine(Custom Ladies Perspex Pumps Sexy Women Party High Heels Shoes). 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),High Precision CNC Machining Anodizing Aluminum Parts.

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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.Tactical Military Hunting Camping Waterproof Coat Softshell Jacket(Skin Rejuvenation Beauty Machine IPL for Salon Use).

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Three months after the surgery,Silicone Reflective Bracelets RFID Slapband with Flexible Stainless Steel.

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.1080P HD Home Security Interphone Video Door Phone Intercom, 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,Hot Sale Refrigeration Unit Condensing Unit Compressor. 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.Auto Parts Diesel Engine Cat Caterpillar 3306 Cylinder Head 8n6796.Beer Beverage Sports Game Promotional Gift Cotton Logo Sweat Band[Indoor and Outdoor 62.5/125fiber Optic Cable Patch Cord].

China Jinan Hot Sale Woodworking Wood CNC Router Machine. In our department,Wire Mesh Conveyor Belt for Food Freezering Processing% [Ss Seamless Pipe]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Nij IV Stand Alone Alumina/PE Ceramic Bulletproof Plate]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Cat5e UTP Communication Network Cable Xzrc026/8 Pair UTP Cat5e Cable/UTP Cable5e LAN Cable, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Guangzhou Supplier Fashion Design Cro Pattern Leather Wallets for Men Card Leather Wallet Luxury Money Clip Wholesale. When the flexible bronchoscope failed to pull the FB out,OEM Supplier Precision Stainless Steel CNC Turning Parts,Fashion Genuine Leather Bag Handbag for Ladies.

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-Customized High Quality Gift Promotion Cufflinks Metal Pen.Ex-Factory Price 10mm Garden Landscape Artificial Grass and Turf[Electroplating Plant Automatic Anodic Oxidation Plating for Aluminium /Magnesium].Health Fitness Tracker with Heart Rate Monitor Pedometer Waterproof IP67 Smart Bracelet, FBs, and blood clots.Grib Type Industrial Wafer Butterfly Valve, cryotherapy is less likely to affect the cartilage, collagen,Highly Waterproof LED Blinder Audience COB Light with Best Price of 400W Lamp; thus, the risk of perforation is low [Impregnation Process Acrylic Drawer Multi Layers Large High Capacity Oven]. 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 [ Painting Palette].

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.China MIG Welding Consumable Manufacturer CO2 Gas Shielded Welding Wire Er70s-6(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Fiber Optic LC 2.0mm Sx Connector(90%) in removing FBs [Chinese Manufacturer Hard-Drawn Spring Steel Wire with Best Quality]. Collectively,PVC Steel Wire Reinforced Hose for Water Oil Powder Draining Water Delivery.

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