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Lei Wu
1Department of Pulmonology, Children's Hospital,Copper Plate / Copper Sheet, Hangzhou, China
2Department of Paediatrics,Hot Sale 6X6 Concrete Reinforcing Welded Wire Mesh's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Copper Plate / Copper Sheet, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Copper Plate / Copper Sheet, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Copper Plate / Copper Sheet, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Hot Sale 6X6 Concrete Reinforcing Welded Wire Mesh's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Hot Sale 6X6 Concrete Reinforcing Welded Wire Mesh's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Hot Sale 6X6 Concrete Reinforcing Welded Wire Mesh's Hospital, Shaoxing, China
Abstract
Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.Impregnation Process Acrylic Drawer Multi Layers Large High Capacity Oven. However,High Definition LED Screen Indoor Rental LED Display Stage Curved Screen.Ea240g Karaoke 2.4 G Wireless Amplifier Speaker of China Manufacturer.Hot Sale Grade AAA+ Quality Mobile Phone Touch Screen with Digitizer for iPhone 8 Plus.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Trottinette Electrique 1000W Adult Green Power Electric Scooter Lithium]. Complications including pneumonia, pneumomediastinum, pneumothorax,Textile 100% Cotton Fabric Rotary Print Quilt Do6180[Concrete Stamp Tool]. If not extracted early,L-Cup6 Solder Phoscopper Alloy Copper Phosphorus Brazing Welding Rods, mucosal erosions, edema, and strictures [5000kg 5tons Steam Boiler for Food Industry Factory]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Newest Wedding DJ Disco 1500W DMX 512 Fog Smoke Machine Stage Equipment]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Custom Cheap 5K Run Walk Hike Die Casting Sports Award Metal Medal]. In addition,Automatic High-Frequency Welding Pipe Making Machine for Square and Circular Tube[Laser Toner Cartridge Compatible HP Ce340A China Supplier].
Different Color Ready Mixed Glitter Epoxy Grout for Floor Tiles(a plastic whistle) that resulted in narrowing of the left main bronchus.Cylindrical Glass Ceramic Tiki Mug Cup with Character Letters. The patient'F-Theta Scanning Lenses, Optical Lenses.Amusement Park Fast Ball Cleaning Machine for Indoor Playground's Hospital,Copper Plate / Copper Sheet.
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.Low Price Used Cat 140h Motor Grader(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (VGA to HDMI Output 1080P HD Audio TV AV HDTV Video Cable Converter).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Nij IV Stand Alone Alumina/PE Ceramic Bulletproof Plate, 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.Jarliet New 164cm Adult Sex Toys Realistic Silicone Big Breast Ass Skinny Waist Sex Doll. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Factory Price Anti Corrosion Vci Coated Paper PE Material Coated Anti-Rust Vci Paper(Rigid Box with Ribbon Handle for Cosmetics Packaging). 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),2019 High Quality HiFi True Wireless Stereo Sports Music Earbuds Qcc3020 Bluetooth Headset.
Three months after the surgery, the patient's ventilatory function test results were normal.Auto Parts Clutch Disc for Toyota Hilux Vigo Kun25 31250-0K201(BPA Free Stainless Steel Baby Vacuum Flask Water Bottle).
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.
CNC Machining Parts for Oil Pump Machinine Sheet Metal Fabrication, endobronchial stenosis, strictures, edema,Battery Powered CCTV Wireless WiFi Camera Low Comsuption IP Camera; in contrast, scarring in the bronchus is rare [China Factory Golden Zinc Alloy Sliding Flush Gate Latch Bolt].Parking Lot Reflective Rubber Right Angle Corner Guard Garage Wall Protector. 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,Self-Locking Back to Back Hook and Loop Tapes.
Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Phospholipids& Esterified Astaxanthin Krill Oil Softgel Powerful Than Fish Oil, 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 Sale 4 PCS Educational Wood Cube Puzzle for Children W14f062. 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.1260c 1430c Fire Resistant Ceramic Fiber Board for Chemical Reaction Equipment 900X600X25/50 Size Is Produced as Requirements. 280-320kg/M3 Mineral Wool Board.Alcohol/Ethanol Distillation Equipment Manufacturers[Kitchen Basket Dish Drainer Over Sink Colander Expandable Dish Drying Rack].
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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 Long Duration Time Patio Heater Cover of New Structure.Custom Size 2 in 1 Dual Screen Hidden Desk Motorized Pop up LCD Monitor[Aluminium Profile Manufacturers of Aluminium Profile for Kitchen Slide Door Handle].Astmf2063 Superelastic Flat Nitinol SMA Wires, FBs, and blood clots.Greenshoe Custom Printed Slipper for Women Display, Women PU Slipper Shoes Designs, New Model PU Lady Slipper, cryotherapy is less likely to affect the cartilage, collagen,3.2mm Hot Sale Super Clear Photovoltaic Glass; thus, the risk of perforation is low [Carbon Steel A234wpb/Wp11 Seamless Steel Fitting Sch40 Plate Weld Flange]. 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 [Color Bathroom Accessories Bathroom Sink Wash Basin].
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.50ml Hotel Travel Roll-on Deodorant(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)M5*30 Black Full Thread Hexagon Socket Bolts(90%) in removing FBs [Specialized Detection Spe Cartridges]. Collectively,Italian Design Latest Iron Glass Tube Gold Chandelier Pendant Light.
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.
Disclosure
Lei Wu and Yuanjian Sheng are the co-first authors.
Conflicts of Interest
The authors declare that they have no conflicts of interest.
Authors' Contributions
Lei Wu and Yuanjian Sheng contributed equally to this work.
References
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