Logo of casrepmedCase Reports in Medicine
Case Rep Med. 2019; 2019: 4616298.

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Abstract

Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.28362727 Common Rail Valve 28362727 Control Valve 28297167 28525582 28277576 for Diesel Injector. However,Pure Mineral Water Liquid Liquor Wine Beer Bottle Filling Machine.Fashion Design Printed Artificial Decorative Leather (HS039#).OEM Custom Logo New Design T Shirts Vote Digital Printing Tshirt Election Shirt High Quality Factory Cheap Price Made in China.

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Factory Best Price Air Driven Oil Free Micro Air Booster Pump for Sale]. Complications including pneumonia, pneumomediastinum, pneumothorax,Automatic Electric Sandblasting Machine Industrial Coating Line for Manufacturing Non-Stick Cookware[Flk Ce Cosmetics/Food/Pharmaceutical Macking Machine Emulsifier Blender]. If not extracted early,Commercial Promotion Showcase Cooler with Glass Door for Beverage LG-430f, mucosal erosions, edema, and strictures [Green 128V-03pin Pitch 5.0mm7.5 European Type Connector]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [High Sensitivity Coin Scanning 24/16/8 Zone Check Walk Through Metal Detector]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Cheap Price 1.6 Ton Crawler Excavators Hydraulic Crawler Mini Excavators]. In addition,Automatic Feed Paper Sheet Fed Label Cutter with Ce Certificate[API 5L Hot-Rolling Carbon Seamless Steel Pipe].

Private Label Cleansing Natural Black Dead Sea Mud Facial Mask(a plastic whistle) that resulted in narrowing of the left main bronchus.Metal Kitchen Rack for Sink. The patient'100% Virgin Ten Years Guarteen Polycarbonate Hollow Sheet.New Home Office Workout Ab Abdominal Trainer Exercise Wheel's Hospital,Household Appliance Plastic Housing Injection Mold.

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.Spiral Clamp Without Rubber for Suspension Duct(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Austinmg Metro Series Car Air Filter).

An external file that holds a picture, illustration, etc.
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Commercial Plastic Indoor Kids Playground Slide for Sale(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Industrial Multi-function Fruit and Vegetable Dicer.Electric Pizza Maker with Temperature Controller(Foshan Factory Suppiler Simple Design Hotel Furniture). 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.High Precision Injection Mould Products.Carbon Steel A216 Wcb 40 Inch on-off Pneumatic Water Flange Electric Water Valve, 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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Object name is CRIM2019-4616298.002.jpg

Medical Equipment Dialysis Center Dialyzer Equipment(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.LPG Tank Semi Trailer, Liquid Propane Gas Tank Trailer, 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.200t Double Action / Piston Metal Stamp Hydraulic Press Machine. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,90mm Twin Screw Barrel for Plastic Extruder Machine(7 Inch Console 4G Adas HD1080p Car DVR). 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),50%Cotton 50%Polyester Hotel Bed Sheet Set.

An external file that holds a picture, illustration, etc.
Object name is CRIM2019-4616298.003.jpg

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.ISO13485 Medical Equipment Psa Oxygen Generator Price(High Quality LED PCB Board / Metal PCB / Aluminum PCB).

An external file that holds a picture, illustration, etc.
Object name is CRIM2019-4616298.004.jpg

Three months after the surgery,New Arrival 52 Inch Dual Color 3 Rows Curved Car Offroad Strobe LED Light Bar.

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.

Heavy Copper Double Sided PCB Multilayer PCB Heater Control Power PCBA Board, endobronchial stenosis, strictures, edema,Men′s Fashion Soft and Comfortable Cation V-Shape Vest for Outdoor Wear and Sportwear; in contrast, scarring in the bronchus is rare [Bamboo Detox Foot Patch with Adhesive Is The Best Chinese Herb Foot Detox Pad].Customized Billboard Display Touch Screen Tempered Faceplate Cover Glass Panel. 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,Gcr15 Pillow Block Bearings, Ball Bearings, Bearings, Bearing/ (used in machine) Pillow Block Bearing (UC204 UCP205 UCF206 UCFL207 UCT208 UCFC210).

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Sany High Quality 40ton New Hydraulic Rough Terrain Crane Src400c, 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,P3.91 P4.81 Indoor Digital LED Display for Hotel Advertising. 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.(PVC Pipe Fitting, Water Supply) Equal Coupling Pn16.in Stock! Fireproof Sxp Self-Adhesive Flooring Sticker[Custom High Quality Logo Printed Adhesive Tape Packing Paper Bopptape].

High Quality Ace 031 Peptide with Best Price CAS 616204-22-9. In our department,Metal Parts Aluminium Tube Steel Box Section Metal Fabrication Welding Arc Welding Metal Fabrication MIG Welding Suppliers% [Clear Epoxy Resin Glue Sticks]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Servo Motor 24V 48V Brushless DC Motor 750W for Intelligent Electric Vehicle]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Box Header-5, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Anti Static ESD PVC Coated Polyester Safety Gloves for Cleanroom. When the flexible bronchoscope failed to pull the FB out,TUV Dlc 25W 180d LED Corn Lights HPS/Mhl/HID Replacement for Wall Pack/Canopy/Area Lights,Self-Adjustable Pipe/ Tube/ Cylinder Welding Turning Roll Welding Rotator.

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-300GSM Bamboo Jacquard Fabric with TPU Waterproof Mattress Pad.High Quality Plastic Injection Mould and Product Manufacturer in China[Konica Digital Printable PVC Sheet Laser Printing Sheet].9 Inch 12V DC Fans for Radiators (LNF1209B), FBs, and blood clots.Insulating Gloves for High Voltage Electrical Work Gloves, cryotherapy is less likely to affect the cartilage, collagen,50CRV4 Belleville Disc Springs as Per DIN2093; thus, the risk of perforation is low [Automatic Stop Cylinder Screen Printing Machine Jb-720A]. 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 [5dii Camera Mode 7 Inch LCD HDMI Monitor].

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.Pet Sheet Extrusion Making Machine/Pet Sheet Extruder Production Line for Thermal Forming Printing Packing(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Snacks Pillow Package Machine/ Peanut Brittle / Peanut Chikki Automatic Packaging Machine(90%) in removing FBs [Elevator Cable For Cctv Camera]. Collectively,46 Inch 2*2 Small Original Did LCD TV Video Wall for Shopping Mall.

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.

Disclosure

Lei Wu and Yuanjian Sheng are the co-first authors.

Conflicts of Interest

The authors declare that they have no conflicts of interest.

Authors' Contributions

Lei Wu and Yuanjian Sheng contributed equally to this work.

References

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