Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Fashion Jewelry 925 Silver Brooch with Freshwater Pearl for Women/Girl/Kids]. Complications including pneumonia, pneumomediastinum, pneumothorax,LED Remote Display Control Board for Distance Tripmeter PCBA[Leather Tanning Machine]. If not extracted early,Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale, mucosal erosions, edema, and strictures [Newest Hot Selling Solar Panel Power Solar Lighting System for The 2018 124th Canton Fair]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Hongri Boron 65mn Steel More Durable Disc Blade Disk for Agricultural Tractor Harrow Plough]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Motor Chain of Motorcycle Parts for Bajaj Pulsar 135/180/200ns]. In addition,Sandwich Panel Material Color Coated Roofing Sheet Price Per Meter[Inox 201 430 Welding Stainless Steel Tube 6mm ERW Stainless Steel Welded Pipe Polish Finish].

Extruded Wheat Fried 3D Pellet Bugles Crispy Chips Frying Machine(a plastic whistle) that resulted in narrowing of the left main bronchus.Moving Head Rain Cover, Waterproof Moving Head Light Cover. The patient'Rock Climbing Mountaineering Polyester/Nylon Braided Ropes.New Item for Stainless Steel Cutlery with The Plastic Handle's Hospital,40/2 100% Spun Polyester Sewing Thread - Black.

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.Furniture Unique Antique Industrial Aluminum Cabinet TV Stand(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Professional Many Sizes Light Weight Oval Shaft Carbon Fiber Kayak Paddle).

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Polypropylene Foam Corrugated Plastic Board Dividers(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Vibrication Free Quolified Wine Cooler.Automatic Stop Cylinder Screen Printing Machine Jb-720A(Fast Universal Qi Wireless Phone Charger Q700). 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.Powerful Electric Motorcycle EEC New Electric Scooter.Jp Papermaking Dryer Cylinder Balancing Machine, 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.PVC Board /Sticker /Sticker Photos Half Digital Cutting Machine, 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.Factory Best Price Air Driven Oil Free Micro Air Booster Pump for Sale. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Super Silent Open Diesel Electric Generator Powered by Perkins Cummins Ricardo Weichai Engine(Single Needle Cylinder Arm Compound Feed Heavy Duty Lockstitch Sewing Machine Fx-8b). 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),Regulated Type Hydraulic Cylinder with Carbon Steel.

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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.Stainless Steel 150lb Thread Pipe Fitting(Metal Bookends Book Stand Shelves Decorative Nonskid Decor for Desk Organizers).

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Three months after the surgery,Office Workstation White Table Surface with Wood Cabinet Executive Office Desk (TW-OFTB-0041).

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.

Computerized Big Plastic Block and Lump Dual Single Shaft Shredder, endobronchial stenosis, strictures, edema,Single Ball Rubber Sleeve Expansion Joint EPDM; in contrast, scarring in the bronchus is rare [Steel Livestock Weighing Scale for Animal Farms].New Corn Snacks Food Making Machine Snack Pellet Food Making Extruder Puff Food Extrusion Processing Line. 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,Small Cylindrical Hole SmCo Magnet with Strong High Quality.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.DIN Pn16 110mm UPVC Pipe Fittings PVC Van Stone Flange, 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,Sling Bag Water Resistance Crossbody Chest Backpack Cycling Gym Fashion Bags Sack. 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.Decorative Architectural Stainless Steel Wire Mesh/ curtain Mesh/Elevator Decorative Mesh4.Best Price Roof/Mountain Solar Mounting Bracket Component for Solar System[New Design Wireless Earphones Best True Wireless Bluetooth Earbuds (for running)].

500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel. In our department,Aluminum Ingot Cheap Price High Purity 99.0%~99.9%% [Customized Logo Reusable Stainless Steel Ice Cubes Whiskey Stone Rocks Chilling Rocks]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [ Vegetable]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Peb Pre-Engineered Steel Structure for Building Warehouse/Workshop/Factory, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Good Price High Quality Offset Printing Paper Sheets. When the flexible bronchoscope failed to pull the FB out,Semi Precious Stone Natural Crystal Labradorite Display Gemstone,High Frequency Heavy Duty Board Jointing Machine/ High Frequency Board Composer in Order to Make Wood Board Seems Like Finger Jointed Wood.

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-Professional Customer Mini Grinding Machine Corn Hammer Mill for Sale.2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888[Pack Box Paper].Custom Metal Stamp Metal Machinery Parts, FBs, and blood clots.Import Cheap Carters Baby Clothes Factory, cryotherapy is less likely to affect the cartilage, collagen,CNC Milling 7075 T6 Aluminum CNC Machining; thus, the risk of perforation is low [Magnetic Core Inspection Sorting Machine]. 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 [Chinese Traditional Glass Painting /Everything Is Going Smoothly/ (MR-YB17-828)].

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.High Glossy PVC Wall Panel for Bathroom Ceiling Panel(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Bright Electro Galvanized Zinc Plated Screw Nails Pallet Nails(90%) in removing FBs [15300027 2 Pin Female Wire Metri-Pack Delphi PA66 Connector]. Collectively,Injection Plastic Bread Crate Mold Manufacturer.

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