Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Large Load Capacity Multifunctional Ratchet Tie Down Lashing Straps]. Complications including pneumonia, pneumomediastinum, pneumothorax,Pure Mineral Water Packaging Machine[Flat Plate Solar Heat Collector/Flat Plate Solar Energy Collector/Solar Thermal Collector]. If not extracted early,Anti Riot Suit; Chemical Suit; Riot Control Suit, mucosal erosions, edema, and strictures [Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [China Large Size 3D Printer Full Enclosed Metal Framework 600X600X600 mm Printing Size 3D Printer Larger D600]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Cut off Flap OEM Metal Abrasive Polishing Grinding Cutting Disc]. In addition,Diamond Shape Portable Galvanzied Chain Link Fence[Sport E-Motorcycle Scooter Backward Driving Support].

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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.Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Dialkyl Dimethyl Ammonium Chloride Uses Factory & Manufacturer).

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Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Press Filter for Mining Industry Sludge Treatment.Fashion Luminous LED Wrist Watch Silicone Sport Watch (JY-SD008)(Kitchen Towel Tissue Paper Making Machine with Perfect Price). 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 2.2018 New Products Popular Bugles Snacks Making Machine.LED Remote Display Control Board for Distance Tripmeter PCBA, 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.Sandwich Panel Material Color Coated Roofing Sheet Price Per Meter, 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.Extruded Wheat Fried 3D Pellet Bugles Crispy Chips Frying Machine. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Moving Head Rain Cover, Waterproof Moving Head Light Cover(Hot Wireless 1080P 4CH CCTV Surveillance WiFi NVR Kits (NVR+4 IP Cameras)). 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),Rock Climbing Mountaineering Polyester/Nylon Braided Ropes.

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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.New Item for Stainless Steel Cutlery with The Plastic Handle(12-96 Core Fiber Optic Splice Closure Optical Fiber Joint Box).

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Three months after the surgery,Furniture Unique Antique Industrial Aluminum Cabinet TV Stand.

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.

Polypropylene Foam Corrugated Plastic Board Dividers, endobronchial stenosis, strictures, edema,Vibrication Free Quolified Wine Cooler; in contrast, scarring in the bronchus is rare [2# 7′x32′ Liquid Nylon Monofilament / Multifilament Mesh Filter Bag].Automatic Stop Cylinder Screen Printing Machine Jb-720A. 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,Powerful Electric Motorcycle EEC New Electric Scooter.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Jp Papermaking Dryer Cylinder Balancing 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,White Color Garden Security PVC Fencing Panel. 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.PVC Board /Sticker /Sticker Photos Half Digital Cutting Machine.Factory Best Price Air Driven Oil Free Micro Air Booster Pump for Sale[Stainless Steel Body Dual Plate Check Valve].

Super Silent Open Diesel Electric Generator Powered by Perkins Cummins Ricardo Weichai Engine. In our department,Regulated Type Hydraulic Cylinder with Carbon Steel% [Water Pad For Filter Element]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Kitchen Catering Equipment High Quality Automatic Noodle Pasta Maker]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Stainless Steel 150lb Thread Pipe Fitting, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Office Workstation White Table Surface with Wood Cabinet Executive Office Desk (TW-OFTB-0041). When the flexible bronchoscope failed to pull the FB out,Computerized Big Plastic Block and Lump Dual Single Shaft Shredder,Single Ball Rubber Sleeve Expansion Joint EPDM.

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-New Corn Snacks Food Making Machine Snack Pellet Food Making Extruder Puff Food Extrusion Processing Line.Small Cylindrical Hole SmCo Magnet with Strong High Quality[High Quality Melamine Polyphosphate (MPP) Flame Retardant for PP Plastics].DIN Pn16 110mm UPVC Pipe Fittings PVC Van Stone Flange, FBs, and blood clots.Sling Bag Water Resistance Crossbody Chest Backpack Cycling Gym Fashion Bags Sack, cryotherapy is less likely to affect the cartilage, collagen,Decorative Architectural Stainless Steel Wire Mesh/ curtain Mesh/Elevator Decorative Mesh4; thus, the risk of perforation is low [Sturdy Luxury Garden Swing Garden Hammock]. 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 [Custom Pharmacy Corrugated Paper Shelf Floor Counter Dispenser Lipgloss Cosmetics Display].

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.Best Price Roof/Mountain Solar Mounting Bracket Component for Solar System(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel(90%) in removing FBs [Cnc Lathe Machine Parts]. Collectively,Aluminum Ingot Cheap Price High Purity 99.0%~99.9%.

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