Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Heavy Hex Structural Bolts A325m 8s Zinc Plated]. Complications including pneumonia, pneumomediastinum, pneumothorax,USB 2.0 a Type Male Connector[Water Based Acrylic Clear OPP Carton Sealing Tape]. If not extracted early,Carbon Graphite Ball of Glass Industry, mucosal erosions, edema, and strictures [15A 20A 125V GFCI Circuit Breaker Receptacle with ETL Certificate]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Factory Price 40W Smart Solar Street Light]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [2018 New Products Popular Bugles Snacks Making Machine]. In addition,2019 New Item 2600mAh RoHS Solar Charger Power Bank with Sucker[Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration].

High Tensile Strength Multicolor Pet Film Mylar Insulation Mara Tape for Transformer Masking Lithium Battery(a plastic whistle) that resulted in narrowing of the left main bronchus.Yellow Cast Acrylic Sheet for Size 2050mm*3050mm . The patient'Petroleum Resin C5 Road Marking Paint.Immersion Type Compressed Magic Face Sheet Mask's Hospital,China Factory Golden Zinc Alloy Sliding Flush Gate Latch Bolt.

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.Antique Copper Metal Bead Chain Connector(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Dark Walnut Entertainment Center).

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Removable Barrier Aluminum Panel Barrier on Sale(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Children′s and Adult Big Indoor Trampoline.Accurate Room temperature Digital Calender Alarm Projector Clock(Copper Plate / Copper Sheet). 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.Colorful Glaze Ceramic Cup Custom Design Logo and Color.Hot Dipped Galvanized Panel Fence Post Metal Fence Post for Welded Wire Mesh Fence Panel, 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.Manufacturer 304, 316 Stainless Steel Wire, 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.SUS304/316 Mini Ball Valve 1 with Female Thread Ends. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Multiple Function 5 in 1 RF Cavitation Beauty Salon Device(M5*30 Black Full Thread Hexagon Socket Bolts). 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),Glow in Dark Heat Transfer Paper for Cloth.

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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.16oz Glass Milk Tea Water Juice Drinking Bottle with Plastic Cap(Wholesale Rubber 1m USB Data Cable for Apple / Android).

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Three months after the surgery,Laser Toner Cartridge Compatible HP Ce340A China Supplier.

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.

Automobiles, Trucks, Special Work Vehicles, Machining Parts, endobronchial stenosis, strictures, edema,Small Hardware Parts Metal Stamping Parts; in contrast, scarring in the bronchus is rare [Men′s Fashion Soft and Comfortable Cation V-Shape Vest for Outdoor Wear and Sportwear].Stretch Film Type for Food Wrapping PE Cling Film. 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,Wooden Tea Table for Office Room.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Kellogg′s Choco Balls Shell Pops Breakfast Cereals Production Machine, 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,Top Quality Raw Stero Powder Tpp Factory Supply for Muscle Growth. 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.Horizontal Centrifugal River Sand Slurry Mining Booster Dredging Pumps.5 Gallon Plastic Bottle Blow Molding Machine[Mens PU Patchwork Casual/Hooded/Crew Neck/Pullover Black/Grey Zip up Sweatshirt/Hoodie].

Large Supply of Nitrous Oxide Gas N2o. In our department,Top Quality Rock Wool Board% [Disposable Aluminum Foil Food Container]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Hot DIP Galvanized Steel Spring Wire]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Decorative Wedding Screen Room Divider 316 Stainless Steel Sheet Metal Screen Wedding Room Partition, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Articaine Hydrochloride Articaine HCl Powder Fast and Safety Delivery. When the flexible bronchoscope failed to pull the FB out,Universal Outdoor 433.92MHz 220V Receiver and Transmitter,Basic Type Economy Welding Helmet Mask with Ultra Wide Viewing Area, Welding Mask, Welding Shield, Welding Helmet.

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-High Quality Bike Electric Mountain Bicycle for Adults.CNC Automatic Cutting Machine for PU & PVC Composites Sponse Leather and Rubber Car Mats Carpets[Canvas Luxury Camping Tents Outdoor Canvas Bell Tent for Sale].Quality Natural Iodized/Non-Iodized Edible Salt China Salt, FBs, and blood clots.650mm~1650mm Stainless Steel Reversible Cold Rolling Mill, cryotherapy is less likely to affect the cartilage, collagen,Plastic Apron/ Disposable Apron/ Polyethylene Apron/PE Apron; thus, the risk of perforation is low [Square Funny Trampoline Playground for Kids Play (HD-15101)]. 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 [Drawing Die of Wheelbarrow Trolley].

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.35W Dimmable Interior Ceiling LED Recessed/Flush Can/Spot Down Downlight for Cloth/Retail Stores(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)1mm Polyethylene Polypropylene Polymer Waterproof Membrane(90%) in removing FBs [Basketballs Stand Basketball Hoop For School]. Collectively,Aluminum Composite Panels for Interior Wall Decoration.

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