Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [330kw Perkins Soundproof Genset/ Generator Set with Brushless Alternator]. Complications including pneumonia, pneumomediastinum, pneumothorax,Health Fitness Tracker with Heart Rate Monitor Pedometer Waterproof IP67 Smart Bracelet[HD Video Conference Camera Conference System for Cam Chat]. If not extracted early,Grib Type Industrial Wafer Butterfly Valve, mucosal erosions, edema, and strictures [Handheld Car Vacuum Cleaner DC 12V 120W Mini]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [High Efficiency System Grid Tie Inverter 1000W]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Motion Control Stepper Motor with Easy Driver]. In addition,Highly Waterproof LED Blinder Audience COB Light with Best Price of 400W Lamp[Cp Series Block Fully Welded Plate Heat Exchanger Instead of Gasket Heat Exchanger].

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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.GB Standard New Style Modular Steel Workshop Frame(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (m.foneng.net).

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Stainless Steel Kitchen Storage Holders Racks Pantry Cookware Spice Shelf Rack Wall Hanging Kitchen Organizer(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

5000kg 5tons Steam Boiler for Food Industry Factory.Cal-a 70mm2 Al Cu Welding Bimetal Cable Lugs(Mt160hw4dve R22 Danfoss Commercial Compressor France Maneurop Piston Reciprocating Compressor Compressor). 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.Dongyue Light Weight Block Machine Manufacturer and Sand AAC Block Making Machine.2018 304 316 316L Seamless Stainless Steel Pipe, 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.Sumitomo G Awm 2896 80c VW 1 LCD Display FFC Flat 30 Pin Ribbon Cable, 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.15kw Industrial Stationary Electric Screw Air Compressor with Air Dryer. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Automatic Milk Fruit Juice Tomato Sauce Gear Pump Filler (GPF-400A)(35mm Grass Synthetic Artificial Lawn Garden Turf). 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),Tcn Smart Intelligent Automatic Snack Drink Combo Vending Machine Manufacturer.

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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.Custom Pharmacy Corrugated Paper Shelf Floor Counter Dispenser Lipgloss Cosmetics Display(Most Thin Slice Sweet Potato Slicer/Potato Slicer Machine Electric Potato Chip Slicer).

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Three months after the surgery,2-in-1 Kitchen Clever Cutter Food Chopper Smart Cutter.

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.One Piece Colostomy Ileostomy Punch for Pediatrics, 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,Aluminium Cold Forging Casting and Forging Roll Forging. 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.Street Charge Station Vertical Screen Landing Double Screen Gate Outdoor Advertising Machine 37 Inch Display in Retail Stores Media Wall Mount Advertising.Precision Sheet Metal Fabrication Metal Enclosure OEM ODM Service[2016 Best Lighting Beam Sale RGB Mini Stage Laser Light].

Promotional Gift Solar Rechargeable LED Camping Lantern Light. In our department,Double Eccentric Semi Ball Valve for Soda Ash Carbonation Tower% [Direct Burial Good Quality Steel Wire 2-144 Optical Fiber Cable]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [925 Sterling Silver Mini Stud Earrings with Heart Style for 2017 Canton Fair]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Semi Automatic Pneumatic Beer Bottle Capping Machine, Beer Bottle Capper, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Sheep Abattoir Plant Carcass Cleaning Machine for Slaughtering Equipment. When the flexible bronchoscope failed to pull the FB out,China Customized High Strength Outdoor Tent Pole Service,50mm Dia Security Hard Ink Tag.

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-Custom Paper Cardboard Paper Packaging Shipping Box with Plastic Handle.China Wholesale High-End Wallet Genuine Leather Multi Function Wallet[Do907digital OLED Display Advance Zd Turbo Boost Gauge].Round Downpipe Roll Forming Machine, FBs, and blood clots.Suppliers LC Sc FC St MTRJ MPO Fiber Optical Adaptors, cryotherapy is less likely to affect the cartilage, collagen,15 Inch Capacitive Touch Screen POS Terminal for Retail; thus, the risk of perforation is low [Ce EMC LVD RoHS Two Years Warranty]. 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 [Top Selling Rectangular Frames Cp Injection Plastic Sunglasses].

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.Color Bathroom Accessories Bathroom Sink Wash Basin(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Stainless Steel Body Dual Plate Check Valve(90%) in removing FBs [Best HDMI Cable 2.0V (1080P]. Collectively,Gold Metal Customize Sport Medal Cheap Ym1170.

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