Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Transparent Custom Color PVC Label Holder Plastic Data Strip]. Complications including pneumonia, pneumomediastinum, pneumothorax,High Hardness 20mm to 150mm Forged Grinding Steel Balls[www.aoiekt.com]. If not extracted early,Gold Supplier Epoxy Resin Injection Machine, mucosal erosions, edema, and strictures [ Mic Stand]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [3t Hydraulic Scissor Lift/Car Lift for Garage/Workshop/Tire Shop]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [ 3 Stage Mast Side Shift]. In addition,Gypsum Block Making Machine for Interior Decoration[High Quality LC Quad APC Upc 4 Cores Standard Fiber Optic Adapter].

Mining Lamp Charger with 4.56V DC Output Voltage(a plastic whistle) that resulted in narrowing of the left main bronchus.Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags. The patient'with Ipex WiFi PCB 2.4GHz Antennas (GKA-WiFi-246) WiFi Antenna.COB LED Street Light Cover Mlt-Slh-as-I's Hospital,Manufacturer Offer High Quality Cute Cartoon Bedclothes Comforter Bedding Sets for Kids.

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.Shenzhen 1-20 Layer Rigid PCB Electronics Manufacturing(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Air Switch).

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China Factory Sell Ck350 CNC Pipe Threading Lathe(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Diamond Saw Blade for Cutting Granite, Marble, Concrete, Asphalt, Wall, Stone, Ceramic.Waste Oil Recycling Machine/Used Oil Recycling /Oil Refining Plant(Fluorescent Red 100% Cotton Breathable Soft Fabric T-Shirt Hi Vis Shirt Reflective Polo Shirt). 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.Factory Price Fashion Double Layer Reversible Umbrella, Nice Inverted Umbrella for Gift.Men′s Clothing Wholesale Streetwear High Quality Custom Printed 100% Cotton Fleece Hoodie, 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.Cargo Van Gasoline Engine Truck with High Quality, 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.Twin Thermoplastic Hydraulic Hose SAE 100 R7 Standard Manufacturer Hose. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,WPC Wood Plastic Profile Extrusion Die Head/Extrusion Mould(LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing Machine). 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),7.5m Australia Standards House Cabin Fishing Boat with Aluminum Plate.

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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.CNC Electric Multi Spindle Flexible Arm Vertical Hand Tapping Machine(RFID Polyester Woven Wristband for Party and Concert Festival).

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Three months after the surgery,1kw/2kw/3kw/4kw Stainless Steel Sheet Metal Fiber Laser Cutting Machine.

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.

High Pressure Air Compressor Scuba Air Compressor Diving Air Compressor Paintball Air Compressor (BW200C), endobronchial stenosis, strictures, edema,Wholesale Rectangle Organic Bamboo Cutting Board; in contrast, scarring in the bronchus is rare [Automatic Disposable Tableware Packaging Machine Production Line Equipment].10FT Rotomoulded Fishing Kayak De Pesca Pedales Foot Pedal Canoe Boat Propeller Controller. 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,Light Flashing Warning LED Strobe Warning Light Car Truck Emergency Beacon Light Yet614.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.60ton 80ton 4 Column Single Action Hydraulic Oil Filter Press 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,Strong D32X43mm Office Push Pin Magnets Fridge Magnets. 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.Hairise Food Electric Portable Automated Pallet Mobile Conveyor.Range Shifting Lever Professional Parts Tractor Gear Main Shift Lever[Insulating Gloves for High Voltage Electrical Work Gloves].

China Manufacturer Stainless Steel Cap ASTM A403 2′′ Sch10s. In our department,H24 Temper, 5052 Aluminum, Cans Lid Aluminium Alloy Products% [Peel and Stick Engineered PVC Plank Durable Vinyl Flooring]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Plastic Products Washing Machine Parts Plastic Mould]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Copper Plate / Copper Sheet, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Hot Sale 6X6 Concrete Reinforcing Welded Wire Mesh. When the flexible bronchoscope failed to pull the FB out,Round Nickel Plated Pop up Table Socket with European Quality,Impregnation Process Acrylic Drawer Multi Layers Large High Capacity Oven.

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 Definition LED Screen Indoor Rental LED Display Stage Curved Screen.Ea240g Karaoke 2.4 G Wireless Amplifier Speaker of China Manufacturer[ Fiber Optic PLC Splitter Distribution Box].Hot Sale Grade AAA+ Quality Mobile Phone Touch Screen with Digitizer for iPhone 8 Plus, FBs, and blood clots.Textile 100% Cotton Fabric Rotary Print Quilt Do6180, cryotherapy is less likely to affect the cartilage, collagen,L-Cup6 Solder Phoscopper Alloy Copper Phosphorus Brazing Welding Rods; thus, the risk of perforation is low [Children New Design Small Playground Theme Standard Theme Kids Playground Big Indoor Playground for restaurant]. 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 [Factory Multi Media Filter Tanks Mechanical Sand Filter Housing Swimming Pool Filter for Water Treatment Equipment].

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.Automatic High-Frequency Welding Pipe Making Machine for Square and Circular Tube(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Different Color Ready Mixed Glitter Epoxy Grout for Floor Tiles(90%) in removing FBs [Ammonium Bicarbonate Fertilizer Production Granulator for 2 Ton Per Hour]. Collectively,Cylindrical Glass Ceramic Tiki Mug Cup with Character Letters.

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