Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [High Pressure Air Compressor Scuba Air Compressor Diving Air Compressor Paintball Air Compressor (BW200C)]. Complications including pneumonia, pneumomediastinum, pneumothorax,Cheap Plain Sublimation Men Custom Factory Wholesale Men High Quality Fashion Casual Sweatshirt Hoodies[105mm Square Speaker]. If not extracted early,12864cog-17A Graphic Stn DOT Matrix LCD Display with Yellow-Green Screen for Gas Meter, mucosal erosions, edema, and strictures [Carbon Steel Flange End Plate for Concrete Spun Pile]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Wooden Tea Table for Office Room]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Guangteng Power Saving Air Source Heat Pump 14.6KW Water Heater 3 In 1 GT-SKR055HH-10]. In addition,SUS304 Pan HD Phillips Drives Self Tapping Screw (Fasteners& hardware)[Low Price Die Sinking EDM Machine].

3D Printer Plastic Filament 1.75 2.85 for Smooth Printing(a plastic whistle) that resulted in narrowing of the left main bronchus.Adhesion Temporary Protection PE Protective Film for Wood Furniture. The patient'Halloween Decorations Wholesale Ceramic Skull Head Candle Holder.Waterproof Hard Tool Case Military Toolboxes's Hospital,High Quality PVC Rigid Sheet (AS-1) for Package Box.

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.Anti Slip Entrance Floor PVC Doormats Making Machine(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (China Sheet Metal Slitting Machine).

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High Quality Polished Capillary Stainless Steel Pipe(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Steel Continuous Cold Rolling Mill (Tandem).Furimach L-Type PVC Electrical Insulation Tape Packing Machine/BOPP Tape Packing Machine/ Masking Tape Wrapping Machine(Heavy Hex Structural Bolts A325m 8s Zinc Plated). 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.Copper Oxychloride 30% SC Fungicide & Bactericide.Artificial Ceramic/Quartz/Marble/Stone Exhibition/Showroom Shelf Tile Display Rack/Display Stand/Display Banner for Tile, 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.Spray Gun Sprayer Nozzle Injector Head Digital Ultrasonic Cleaner Degreasing Tank, 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.Automatic Cheese Pre-Made Pouch Vacuum Packing Machine. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Fashion Pumps Retro Plimsolls Plimsoles Low-Top Flat Gym Sports Trainers Lightweight Sneakers(Factory Price 40W Smart Solar Street Light). 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),Triaxial Wireless Vibration Sensor Rh605 for Vibration Diagnostic.

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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.Prime Gi Manufacture Roofing Sheet Hot Dipped Galvanized Steel Coil(2018 New Products Popular Bugles Snacks Making Machine).

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Three months after the surgery,Wholesale Cosmetic Coated Paper Packaging Gift Box for Face Mask.

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.

PVC Plum Tube Grid Plumbing Pipe Fittings, endobronchial stenosis, strictures, edema,Colorful Silicone Collapsible Funnel Foldable Funnel for Liquid Transfer L; in contrast, scarring in the bronchus is rare [Semi-Automatic Container Spreader for Handling 20FT/40FT Container].Mercury-707 (AZ-GTE) , Optical Telescope, High-Level Astronomical Telescope. 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,New Arrival Stainless Steel Case with Wooden Bracelet 3ATM Water Resistant Men Watch.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Custom High Professional Lathing/ Milling/Turning Precision CNC Metal Parts, 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,Titanium Tube Evaporator Chiller Heat Exchanger. 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.3D Fiber Laser Cutting and Engraving Machine.Carboxylic Butadienestyrene Latex[Copper Plate / Copper Sheet].

UV LCD 3D Printer Orange 10, SLA Resin 3D Printer with 2.8-Inch Full Color Touch Screen off-Line Print Build Volume 3.86 (L) X 2.17 (W) X 5.5 (H). In our department,500L Cask Beer Microbrewery System Fermentation Tank% [4000k Led High Bay High Quality Supplier]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Exhibition Display Metallic Sound Aluminium Truss Hot Sale]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Feelderma 1ml Low Cost Dermal Filler Ha Injection for Moderate Wrinkles, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Easy Adjustment 3D CNC Wood Carving Router for Sale. When the flexible bronchoscope failed to pull the FB out,Custom Service Precision Sheet Metal Bending,3.5t Forklift.

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-Dental Sintering Furnace Price.2019 Metal Designer Round Vintage Sunglasses[M5*30 Black Full Thread Hexagon Socket Bolts].10ml Glass Roll-on Bottles with Caps, FBs, and blood clots.35mm Grass Synthetic Artificial Lawn Garden Turf, cryotherapy is less likely to affect the cartilage, collagen,Intelligent Sweeper Robot Fully Automatic Charging FC8700 Home Quiet Ultra-Thin Vacuum Cleaner; thus, the risk of perforation is low [Wholesale Rubber 1m USB Data Cable for Apple / Android]. 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 [China Building Materials Popular Delicate Strip Aluminium Ceiling for Gas].

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.Custom Cheap 5K Run Walk Hike Die Casting Sports Award Metal Medal(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Box Pouch Coffee Bag (Flat Bottom Bag)(90%) in removing FBs [Lathe Machine Swiss Type Ca6166 Manual Lathes]. Collectively,Mobile Intelligent Batching Production Line.

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