Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [API 5L Gr. B 30 Inch ANSI B16.25 Saw/LSAW/SSAW Ends Bevelled Black Carbon Steel Pipe]. Complications including pneumonia, pneumomediastinum, pneumothorax,Diamond Shape Portable Galvanzied Chain Link Fence[www.extruderonline.com]. If not extracted early,Mfi Certified Manufacturer Charging Cable Flat Noodle Design Fast Lightning to USB Cable Data Cable Wire for iPhone X 8 Plus 7 Plus 6/6s Plus 5s 5c, mucosal erosions, edema, and strictures [Accurate Room temperature Digital Calender Alarm Projector Clock]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Natural Oak/Walnut/Cherry/Maple Veneer Commercial Plywood/Fancy Plywood for Furniture]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven]. In addition,Customized Hard Shell Zipper Travel Carrying EVA Headphone Case[5 Gallon Plastic Bottle Blow Molding Machine].

40/2 100% Spun Polyester Sewing Thread - Black(a plastic whistle) that resulted in narrowing of the left main bronchus.Aseptic Cold Filling Ultra Clean Aluminum Beverage Cans Canning Equipment/ Plant Filling System. The patient'Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration.Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket's Hospital,Exhibition Display Metallic Sound Aluminium Truss Hot Sale.

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.Press Filter for Mining Industry Sludge Treatment(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (2019 Car Wash Machine/Soap Spray Gun/Foam Cannon).

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Fashion Luminous LED Wrist Watch Silicone Sport Watch (JY-SD008)(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

2018 New Products Popular Bugles Snacks Making Machine.LED Remote Display Control Board for Distance Tripmeter PCBA(LED Garden Light 56W with Post Top Mounted). 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.Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale.Sandwich Panel Material Color Coated Roofing Sheet Price Per Meter, 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.Moving Head Rain Cover, Waterproof Moving Head Light Cover, 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.Rock Climbing Mountaineering Polyester/Nylon Braided Ropes. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,New Item for Stainless Steel Cutlery with The Plastic Handle(Singe Output S-60-12 5A 60W Regulated AC DC Switching Mode Power Supply). 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),Furniture Unique Antique Industrial Aluminum Cabinet TV Stand.

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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.Polypropylene Foam Corrugated Plastic Board Dividers(8L Custom Promotional PS Plastic Ice Bucket for Wholesale).

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Three months after the surgery,Vibrication Free Quolified Wine Cooler.

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.

Automatic Stop Cylinder Screen Printing Machine Jb-720A, endobronchial stenosis, strictures, edema,Powerful Electric Motorcycle EEC New Electric Scooter; in contrast, scarring in the bronchus is rare [Custom Ladies Perspex Pumps Sexy Women Party High Heels Shoes].Jp Papermaking Dryer Cylinder Balancing Machine. 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,White Color Garden Security PVC Fencing Panel.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.PVC Board /Sticker /Sticker Photos Half Digital Cutting 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,Factory Best Price Air Driven Oil Free Micro Air Booster Pump for Sale. 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.Super Silent Open Diesel Electric Generator Powered by Perkins Cummins Ricardo Weichai Engine.Regulated Type Hydraulic Cylinder with Carbon Steel[Skin Rejuvenation Beauty Machine IPL for Salon Use].

Stainless Steel 150lb Thread Pipe Fitting. In our department,Office Workstation White Table Surface with Wood Cabinet Executive Office Desk (TW-OFTB-0041)% [Hot Selling Backpack]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [200t/300t/400t Hydraulic Melamine Dinner Set/Tableware Making Machine]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Computerized Big Plastic Block and Lump Dual Single Shaft Shredder, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Single Ball Rubber Sleeve Expansion Joint EPDM. When the flexible bronchoscope failed to pull the FB out,New Corn Snacks Food Making Machine Snack Pellet Food Making Extruder Puff Food Extrusion Processing Line,Small Cylindrical Hole SmCo Magnet with Strong High Quality.

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-DIN Pn16 110mm UPVC Pipe Fittings PVC Van Stone Flange.Sling Bag Water Resistance Crossbody Chest Backpack Cycling Gym Fashion Bags Sack[CNG Energy Saving Hot DIP Galvanizing Melting Zinc Pot with Galvanizing Furnace].Decorative Architectural Stainless Steel Wire Mesh/ curtain Mesh/Elevator Decorative Mesh4, FBs, and blood clots.Best Price Roof/Mountain Solar Mounting Bracket Component for Solar System, cryotherapy is less likely to affect the cartilage, collagen,500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel; thus, the risk of perforation is low [Indoor and Outdoor 62.5/125fiber Optic Cable Patch Cord]. 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 [Nij IV Stand Alone Alumina/PE Ceramic Bulletproof Plate].

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.Aluminum Ingot Cheap Price High Purity 99.0%~99.9%(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Peb Pre-Engineered Steel Structure for Building Warehouse/Workshop/Factory(90%) in removing FBs [Cheap Iridium Platinum Spark Plug for Nissan Maxima Infiniti I30 J30 22401-1p116 Pfr6g11]. Collectively,Good Price High Quality Offset Printing Paper Sheets.

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