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Lei Wu
1Department of Pulmonology, Children's Hospital,Chinese Sea Frozen Bonito Price (200g), Hangzhou, China
2Department of Paediatrics,Venus 2019 Hot 2216 LED Strip Decorative LED Light's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Chinese Sea Frozen Bonito Price (200g), Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Chinese Sea Frozen Bonito Price (200g), Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Chinese Sea Frozen Bonito Price (200g), Hangzhou, China
Qiang Wang
2Department of Paediatrics,Venus 2019 Hot 2216 LED Strip Decorative LED Light's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Venus 2019 Hot 2216 LED Strip Decorative LED Light's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Venus 2019 Hot 2216 LED Strip Decorative LED Light's Hospital, Shaoxing, China
Abstract
Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.Cheap Price 1.6 Ton Crawler Excavators Hydraulic Crawler Mini Excavators. However,Custom Make Cheap Mono Segment Tn Htn LCD Glass Display.Pump and Compressor Rubber Vibration Mount Isolator.Hot Dip Galvanized Steel Structure Solar Ground Mounting Brackets for Panel Support.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Desktop LCD Mount with 3-Monitor 10-32 (LCD 0003)]. Complications including pneumonia, pneumomediastinum, pneumothorax,Conveyor Plates Bimetallic Chromium Carbide Wear Resistant Steel Plate[Aluminium Clad Steel Wire for Stranding Sst Opgw Cable]. If not extracted early,Fashion Skeleton-Shaped Stainless Steel Pendant, mucosal erosions, edema, and strictures [Multifunctional Camp Hike Survival Mini Folding Shovel Spade Carry Easily]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Motorcycle Accessory Parts Carburetor for Gy6-125 Gy6-150 Bikes]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Colorful Glaze Ceramic Cup Custom Design Logo and Color]. In addition,High Resistance Sodium Methyl Siliconate Agent/Sealer for Waterproofing Wood / Marble / Stones[650mm~1650mm Stainless Steel Reversible Cold Rolling Mill].
Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill(a plastic whistle) that resulted in narrowing of the left main bronchus.Double Color PVC Coil Mat/Floor Mat/Door Feet Mat/Car Feet Mat Making Machine. The patient'PET film Reinforcement Aluminum Foil for Self-adhesive Waterproof Membrane.Cold Room and Freezer for Fish, Meat, Food, Fruit, Vegetable's Hospital,Chinese Sea Frozen Bonito Price (200g).
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.Transport Excavator Low Bed Semi Trailer for Hot Sale(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Earpods with Lightning Headphone Plug for iPhone Se iPad Mac with Mic and Remote).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.3 Axles Flat Bed Semi-Trailer for 40FT Container, 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.Rubber Seal Made of Silicone From China Manufacturer. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,European Style Wall Papers Home Decor Embossed 3D Damask Wallpaper Roll(48V 72V JiLu solar swimming pool pumping system for domestic). 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),Pack Box Paper, Fast Food Paper Bag Paper Coating Machine.
Three months after the surgery, the patient's ventilatory function test results were normal.Standard Flexible PVC Helix Industrial Suction Hose(New Arrival Rechargeable Pod Vaporizer Closed Pod Vape 15ml Electronic Cigarette Device).
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.2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap, 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,Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven. 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.Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card.Fashion Sided Control Panel Smart Electronic Bidet[Water Filter Bottle Joyshaker RO Water Filter Parts Water Filter Machine Price].
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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-Rough Top Conveyor Belt Rubber Conveyor Belts.Open Cell EPDM Sponge Foam Sheet for the Gasket[Industrial Grade COB LED Jumbo Pen Light with Pocket Clip].Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls, FBs, and blood clots.13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards, cryotherapy is less likely to affect the cartilage, collagen,Nail Polish Machine Set with 6 Acrylic Gel Remover Pedicure Tools Nail Art; thus, the risk of perforation is low [China Jinan Hot Sale Woodworking Wood CNC Router Machine]. 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 [High Quality Watermark Kitchen Sink Flexible Faucet].
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.Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Metal Cleaning Wet Sand Blasting Machine Water Sandblasting Machine(90%) in removing FBs [5 Star Hotel Down Pillow]. Collectively,PP Bag with Recycle Material with Very Cheaper Price.
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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