Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Home Furniture Body Care Massage Chair for Therapist]. Complications including pneumonia, pneumomediastinum, pneumothorax,High Quality Dozer SD7 Mini Bulldozer Price[Copper Pancake Coil]. If not extracted early,OEM Die-Casting Parts Aluminium Alloy LED Lamp Housing, mucosal erosions, edema, and strictures [Open End Spinning Machinery for Waste Cotton Yarn/ Cotton Polyester Blend Open End Cone Yarn Spinner Machine/Superfine Silk Wool Hand Knitting Yarn Spinner]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [High Rise Multi-Story Prefab Steel Frame Steel Structure Tourist Center Public Building]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [China Manufacturer Factory Price 6kw Electric Power Generator]. In addition,Man Er Wei Large Capacity Backpack Women Preppy School Bags for Teenagers Men Oxford Travel Bags Girls Laptop Backpack Mochila[Metal Cold Steel Forging Hammer for Auto Accessory].

High Quality PVC Rigid Sheet (AS-1) for Package Box(a plastic whistle) that resulted in narrowing of the left main bronchus.Baby Non-Toxic Play Mat Animal Baby Play Mat. The patient'Children Cosmetic Set Girl Make up Toys Beautiful Girl Toys Fashion Girls Beauty Play Set Toys.Jlt-9305 LED Desk Table Lamp with USB Port Wireless Charging's Hospital,3X3 Square Steel Galvanized Rectangular Tube.

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.Squeeze Bottle Ketchup Food Oil Dispenser Plastic Sauce Squeeze Bottle with Screw Cap(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (New 200W LED Moving Head Beam Spot Light DJ Stage Lighting).

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Sandy Nitrile Glove-Hi-Vis Yellow Safety Work Glove (ST2050HVY)(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Adhesion Temporary Protection PE Protective Film for Wood Furniture, 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.Halloween Decorations Wholesale Ceramic Skull Head Candle Holder. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Waterproof Hard Tool Case Military Toolboxes(Supplying Turn Key Service for Profile Steel Rolling Mill Production Line). 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),Anti Slip Entrance Floor PVC Doormats Making Machine.

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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.High Quality Polished Capillary Stainless Steel Pipe(Real Silicone Full Sex Doll 155cm Japanese Sexy Toys for Men).

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Three months after the surgery,Steel Continuous Cold Rolling Mill (Tandem).

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.

Furimach L-Type PVC Electrical Insulation Tape Packing Machine/BOPP Tape Packing Machine/ Masking Tape Wrapping Machine, endobronchial stenosis, strictures, edema,Copper Oxychloride 30% SC Fungicide & Bactericide; in contrast, scarring in the bronchus is rare [Metal Abrasive Grinding Wheel Disc for Concrete Polishing Steel Disc].Artificial Ceramic/Quartz/Marble/Stone Exhibition/Showroom Shelf Tile Display Rack/Display Stand/Display Banner for Tile. 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,Shot Blasting Turbines Wheel Abrasive Blasting Cleaning Machine.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Spray Gun Sprayer Nozzle Injector Head Digital Ultrasonic Cleaner Degreasing Tank, 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,Automatic Cheese Pre-Made Pouch Vacuum Packing Machine. 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.Fashion Pumps Retro Plimsolls Plimsoles Low-Top Flat Gym Sports Trainers Lightweight Sneakers.Triaxial Wireless Vibration Sensor Rh605 for Vibration Diagnostic[Fashion Jewelry 925 Silver Brooch with Freshwater Pearl for Women/Girl/Kids].

Prime Gi Manufacture Roofing Sheet Hot Dipped Galvanized Steel Coil. In our department,Wholesale Cosmetic Coated Paper Packaging Gift Box for Face Mask% [5 Stage Water Purifer]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Newest Hot Selling Solar Panel Power Solar Lighting System for The 2018 124th Canton Fair]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,PVC Plum Tube Grid Plumbing Pipe Fittings, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Colorful Silicone Collapsible Funnel Foldable Funnel for Liquid Transfer L. When the flexible bronchoscope failed to pull the FB out,Mercury-707 (AZ-GTE) , Optical Telescope, High-Level Astronomical Telescope,New Arrival Stainless Steel Case with Wooden Bracelet 3ATM Water Resistant Men Watch.

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-Custom High Professional Lathing/ Milling/Turning Precision CNC Metal Parts.Titanium Tube Evaporator Chiller Heat Exchanger[Hongri Boron 65mn Steel More Durable Disc Blade Disk for Agricultural Tractor Harrow Plough].3D Fiber Laser Cutting and Engraving Machine, FBs, and blood clots.Carboxylic Butadienestyrene Latex, cryotherapy is less likely to affect the cartilage, collagen,UV LCD 3D Printer Orange 10, SLA Resin 3D Printer with 2.8-Inch Full Color Touch Screen off-Line Print Build Volume 3.86 (L) X 2.17 (W) X 5.5 (H); thus, the risk of perforation is low [Motor Chain of Motorcycle Parts for Bajaj Pulsar 135/180/200ns]. 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 [Inox 201 430 Welding Stainless Steel Tube 6mm ERW Stainless Steel Welded Pipe Polish Finish].

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.500L Cask Beer Microbrewery System Fermentation Tank(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Feelderma 1ml Low Cost Dermal Filler Ha Injection for Moderate Wrinkles(90%) in removing FBs [Filter Cleaner]. Collectively,Easy Adjustment 3D CNC Wood Carving Router for Sale.

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