Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Antique Copper Metal Bead Chain Connector]. Complications including pneumonia, pneumomediastinum, pneumothorax,E Type Thermocouple Bare Alloy Wire[316 Manual Slide Gate Valve Factory OEM/ODM Products]. If not extracted early,Plastic Handle Polyester Fibre Paint Roller Set, mucosal erosions, edema, and strictures [Plastic PVC WPC Powder Hot and Cool Mixer]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Plastic Floating Dock Making Floating Platform Blowing Machine Price]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Import Cheap Carters Baby Clothes Factory]. In addition,Customized Professional Precision Metal Stamping Parts[500W Stainless Steel Laser Cutting Machine Price].

Washami Fresh Scent Men′s Deodorant Stick 40g(a plastic whistle) that resulted in narrowing of the left main bronchus.Universal Active Infrared Sensor for The Alarm System. The patient'Hot Sale High Quality No Logo TFT Mobile Phone LCD Touch Screen for Huawei P20.Cell Phone Signal Booster (Dual Band GSM 900MHz/1800MHz) -EU's Hospital,Top Quality Preschool Outdoor Playground Plastic Slide, Kids Amusement Park.

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.LED Garden Light 56W with Post Top Mounted(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Round UFO LED Highbay Light Offers Wonderful Alternative to Traditional Metal Halides).

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Strong Diametrically Magnetized Ring N48 NdFeB Magnets(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Lipo Laser Cavitation RF Therapy vacuum LED Repel Cellulite Vacuum Cavitation Slimming.Chinese Sea Frozen Bonito Price (200g)(Waterproof Handy Portable Travel Electronic Digital Luggage Scale). 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.Venus 2019 Hot 2216 LED Strip Decorative LED Light.Customized Hot Resistant Silicone Cup Lid for Gifts, 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.Custom Make Cheap Mono Segment Tn Htn LCD Glass Display, 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.Pump and Compressor Rubber Vibration Mount Isolator. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Hot Dip Galvanized Steel Structure Solar Ground Mounting Brackets for Panel Support((Motorola Parts Wholesaler) Moto X Xt1058 Xt1060 Xt1055 LCD & Screen with Frame Assembly). 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),Conveyor Plates Bimetallic Chromium Carbide Wear Resistant Steel 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.Fashion Skeleton-Shaped Stainless Steel Pendant(3ml. 6ml. 12ml Crystal Europe Perfume Bottle for Body).

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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.

Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill, endobronchial stenosis, strictures, edema,Double Color PVC Coil Mat/Floor Mat/Door Feet Mat/Car Feet Mat Making Machine; in contrast, scarring in the bronchus is rare [High Quality Honey Drum Heater with Self Temperature Control with One Year Warranty].PET film Reinforcement Aluminum Foil for Self-adhesive Waterproof Membrane. 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,Cold Room and Freezer for Fish, Meat, Food, Fruit, Vegetable.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Transport Excavator Low Bed Semi Trailer for Hot Sale, 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,500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price. 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.1m 5V 5A USB Fast Charge Cable Type C Charge Cable.40W Outdoor Cool White Lighting Rotatable Solar Cell Street Light[Wholesale Magnetic Strip Plastic Card Customized PVC RFID Card Business Card].

High Efficiency Widely Usage Feed Pellet Machine for Dairy Farm. In our department,Drawing Die of Wheelbarrow Trolley% [Newly High Quality Electric Powder Coating Line]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Strong D32X43mm Office Push Pin Magnets Fridge Magnets]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,9W LED T8 Tube Light IP20 0.6m 2FT for Indoors, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,3 Axles Flat Bed Semi-Trailer for 40FT Container. When the flexible bronchoscope failed to pull the FB out,Rubber Seal Made of Silicone From China Manufacturer,European Style Wall Papers Home Decor Embossed 3D Damask Wallpaper Roll.

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-Pack Box Paper, Fast Food Paper Bag Paper Coating Machine.Standard Flexible PVC Helix Industrial Suction Hose[X6226 Best-Selling Universal Rotary Head Milling Machine].Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D), FBs, and blood clots.Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale, cryotherapy is less likely to affect the cartilage, collagen,Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round; thus, the risk of perforation is low [160t Hot Press Machine for Laminating Veneer or Man-Made Board]. 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 [Various Sizes Built-in Active GPS Antenna for Tablet GPS Patch Internal Antenna].

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.5 Axis CNC Milling Machine for Plaster Molds Statues Making(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries(90%) in removing FBs [Chrome Acrylic 3D LED Illuminated Car Logo Sign]. Collectively,2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap.

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