Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Wholesale Soft Sole Breathable Men Running Sport Shoes Safety Shoes]. Complications including pneumonia, pneumomediastinum, pneumothorax,China Double Stage 51/105 PE Film Recycle Extruder for Dirty Plastic Recycling[Custom Transflective Monochrome Wide Temperature Ebike Motorcycle Electric Bike LCD Display]. If not extracted early,Manufacturer 304, 316 Stainless Steel Wire, mucosal erosions, edema, and strictures [80X80mm Cold Deformed AISI 304 304L Stainless Steel Angles]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [4inch Recessed Round Ceiling Office Downlight12W IP20 with Ce RoHS]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Amusement Park Fast Ball Cleaning Machine for Indoor Playground]. In addition,SUS304/316 Mini Ball Valve 1 with Female Thread Ends[Thermal Insulated Lunchboxes Square Shape Lunch Box].

Multiple Function 5 in 1 RF Cavitation Beauty Salon Device(a plastic whistle) that resulted in narrowing of the left main bronchus.Glow in Dark Heat Transfer Paper for Cloth. The patient'16oz Glass Milk Tea Water Juice Drinking Bottle with Plastic Cap.Laser Toner Cartridge Compatible HP Ce340A China Supplier's Hospital,Immersion Type Compressed Magic Face Sheet Mask.

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.Automobiles, Trucks, Special Work Vehicles, Machining Parts(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Sportec Japan).

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Small Hardware Parts Metal Stamping Parts(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Stretch Film Type for Food Wrapping PE Cling Film.Wooden Tea Table for Office Room(4000L/H Factory Sale Water Filter Machine for Farm Irrigation System). 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.Kellogg′s Choco Balls Shell Pops Breakfast Cereals Production Machine.Top Quality Raw Stero Powder Tpp Factory Supply for Muscle Growth, 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.5 Gallon Plastic Bottle Blow Molding 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.Large Supply of Nitrous Oxide Gas N2o. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Top Quality Rock Wool Board(Portal Low Beach Camp Chair Folding Compact Picnic Concert Festival Chair with Carry Bag). 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),Decorative Wedding Screen Room Divider 316 Stainless Steel Sheet Metal Screen Wedding Room Partition.

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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.Articaine Hydrochloride Articaine HCl Powder Fast and Safety Delivery(2.0MP 1080P HD 3G 4G SIM Card WiFi Wireless CCTV IP Camera with Bulit in Battery P2p Network Video Home Security).

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Three months after the surgery,Universal Outdoor 433.92MHz 220V Receiver and Transmitter.

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.

Basic Type Economy Welding Helmet Mask with Ultra Wide Viewing Area, Welding Mask, Welding Shield, Welding Helmet, endobronchial stenosis, strictures, edema,High Quality Bike Electric Mountain Bicycle for Adults; in contrast, scarring in the bronchus is rare [10FT Rotomoulded Fishing Kayak De Pesca Pedales Foot Pedal Canoe Boat Propeller Controller].CNC Automatic Cutting Machine for PU & PVC Composites Sponse Leather and Rubber Car Mats Carpets. 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,Quality Natural Iodized/Non-Iodized Edible Salt China Salt.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.650mm~1650mm Stainless Steel Reversible Cold Rolling Mill, 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,Plastic Apron/ Disposable Apron/ Polyethylene Apron/PE Apron. 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.35W Dimmable Interior Ceiling LED Recessed/Flush Can/Spot Down Downlight for Cloth/Retail Stores.1mm Polyethylene Polypropylene Polymer Waterproof Membrane[12mm Steel Coil Staighten and Cut to Length Line].

Aluminum Composite Panels for Interior Wall Decoration. In our department,Cast Rubber Disc Belt Conveyor Comb Idler Roller% [Mat For Equipment]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [High Quality Leakage Residual Current Circuit Breaker]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Plastic Floating Dock Making Floating Platform Blowing Machine Price, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,123CH Wall Switches Learning Code RF Universal Remote Control. When the flexible bronchoscope failed to pull the FB out,High Wear Resistant EPDM Cr NBR SBR Natural Rubber Skirtboard Rubber Conveyor Belt Rubber Strip,Factory Supply Bar Soap Packaging Machine/ Hotel Soap Packaging Machine.

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-Sodium Diacetate Casno  126-96-5.SMD Diode Bav99 High Speed Switching Diode Silkscreen A7 Sot-23 Package[Automatic Carton Box Gluer Machine Jhx-2800].Home Used Metal 6 Drawer Storage Cabinet, FBs, and blood clots.Carbon Steel Seamless Pipe Bend Fitting, cryotherapy is less likely to affect the cartilage, collagen,Transparent Custom Color PVC Label Holder Plastic Data Strip; thus, the risk of perforation is low [220V/110V AC-Powered CH4 Methane Gas Alarm for Home Security (GD)]. 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 [Dental Sintering Furnace Price].

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.Everexceed Aino Micro Range UPS/ Emergency Light/ Medical Equipment 6V 2.8ah AGM Rechargeable VRLA Battery(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Manufacturer Supply Molybdenum Wires Tungsten Filament for Halogen Lamp(90%) in removing FBs [www.gsrfid.com]. Collectively,High-Tech Automated Storage & Retrieval Systems.

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