Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Promotional Polyester Children Thermal Insulated Office Cooler Lunch Bag]. Complications including pneumonia, pneumomediastinum, pneumothorax,Luxury Acrylic Jewelry Necklace Display Rack for Jewellery Shop[Modern Folding Cinema Chair Standard Size Church Chair with Table]. If not extracted early,Q195 Q235 ERW Welded Mild Carbon Steel Black Round Pipe, mucosal erosions, edema, and strictures [High Quality Plastic Injection Mould and Product Manufacturer in China]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [High Glossy PVC Wall Panel for Bathroom Ceiling Panel]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Fashion Retail Wooden Store Fixture with Drawers for Shoes]. In addition,Custom ABS/PP/PE/PVC Wall Switch Socket Plastic Injection Mold/Mould Parts[Rsbm Excavator Bucket Excavator Part for Sorting].

Endoscopy C Mount Camera Coupler F15~F25 Ajustable for Rigid Endoscope Sinuscope Cystoscope(a plastic whistle) that resulted in narrowing of the left main bronchus.China Yuannuo Above 74% Calcium Chloride Flake for Refrigerating Fluid. The patient'HRC45/55/60/65 High Precision 3 Flute Carbide Endmill Roughing End Mill.Multilayer Jerry Can Plastic Bottle Blowing Machine for HDPE PP's Hospital,9.6m Aluminum Fish Collect Boat for Fisherman with Fast Speed.

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.New Indoor Crane Sports Foldable Magnetic Exercise Bike with Twister(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (HDPE Pipe PE Water Pipe PE Drip Irrigation Pipe Extrusion Production Line Making Machine).

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Steering Wheel Covers Colorful Logo Silicone(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.Wholesale Price Resistance Aging Xenon Test Machine Fadeometer, 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.Metal Cold Steel Forging Hammer for Auto Accessory. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Solvent Yellow 82 Equivlent Neozapon Yellow 157(USB 100ml Aroma Therapy Ball Humidifier Ultrasonic Oil Diffuser). 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),Fully Automatical Stacked Screw Sludge Dewatering Equipment for Wastewater Treatment.

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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.Axially Split Pump by Investment Casting(1/2′′ High Quality High Pressure PVC UPVC Ball Valve).

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Three months after the surgery,China Injection Plastic Drawer Container Mould Manufacture.

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.

Metal Abrasive Grinding Wheel Disc for Concrete Polishing Steel Disc, endobronchial stenosis, strictures, edema,Label Paper Tape Flexo Printing Machine; in contrast, scarring in the bronchus is rare [Hnx Flameproof Metal Brass Simple Armored Explosion Proof Cable Gland].Juki SMT Chip Mounter for LED Light Assembly. 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,PVC Printed Table Cloth with Non-Woven Backing.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.3000kg Manual Permanent Magnet Lifting, 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,Motorized Ball Valve 2 Way Full Bore Brass Ball Valve. 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.Kitchen Basket Dish Drainer Over Sink Colander Expandable Dish Drying Rack.Carbon Steel Flange End Plate for Concrete Spun Pile[2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%].

12mm 18mm Llyods Marine Grade Plywood. In our department,8ml Triangle Diamond Perfume Pendant Color Diamond Perfume Empty Bottle% [Embroidered Smiling Home Blanket Blanket]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Customized 2mm-12mm Smart Bathroom Mirror Flat Sheet Glass (S-F3)]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,48V 72V JiLu solar swimming pool pumping system for domestic, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Citroen Jumper Oil Pump Orifice Plate Bf23 (SFP6) for 095000-5800, Auto Diesel Injector Valve Rod 5801 for 095000-5801 Size: 125.85 mm. When the flexible bronchoscope failed to pull the FB out,M8 X 1.25 Brass Cable Connector,Double Row Deep Groove Ball Bearings 4209 2RS 4309 2RS 4210 2RS4 310 2RS 4211 4311 4212 4312 4213 4313 4214 4314 4215 4315 4216.

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-Kitsen Aluminium Formwork Panels for Concrete Casting Building.Spinner Wheels Travel Trolley Bag Suitcase[Halloween Decorations Wholesale Ceramic Skull Head Candle Holder].CNC Woodworking Sliding Table Panel Saw Machine for Sale, FBs, and blood clots.Fireproof Polyurethane Silicone Rubber Coated Fiberglass Fabric, cryotherapy is less likely to affect the cartilage, collagen,Sanitary Stainless Steel Water Tank Cistern Float Ball Valve; thus, the risk of perforation is low [Stainless Steel Impeller Jetl Series Self Priming Water Pump for Sale]. 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 [Taper Mount Chuck Key Is Designed with Versatility].

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.Water Filter Bottle Joyshaker RO Water Filter Parts Water Filter Machine Price(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)160t Hot Press Machine for Laminating Veneer or Man-Made Board(90%) in removing FBs [Condensate PP Polyester Pleated Folding Cartridge Filters for Water Treatment in Power Plant]. Collectively,BPA Free Stainless Steel Baby Vacuum Flask Water Bottle.

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