Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [White Color Garden Security PVC Fencing Panel]. Complications including pneumonia, pneumomediastinum, pneumothorax,Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L[Portable LED Pixel White Wedding Dance Floor DJ Stage Dancing Floor in China]. If not extracted early,Zinc Plated Flat Big Head Clout Nail for Roofing, mucosal erosions, edema, and strictures [Intelligent Sweeper Robot Fully Automatic Charging FC8700 Home Quiet Ultra-Thin Vacuum Cleaner]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [PP Bag with Recycle Material with Very Cheaper Price]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Parts of Motorcycle Cdi/Regulator/Stator Coil Spare Parts for Kymco Motorcycles and Scooters]. In addition,2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%[20W/30W/50W Fiber/3D/CO2/UV/Mini Laser Marking/Engraving Machine for Metal and Nonmetal].

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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.Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Center Hollow Tension Jack).

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing 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.DMD Insulation Paper for Insulation Moter 6641. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Dt1703 Intelligent Bathroom Sanitary Ware Comfortable Fashion Design Smart Toilet(Sheep Abattoir Plant Carcass Cleaning Machine for Slaughtering Equipment). 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),Vitamin a Acetate 0.325miu Beadlet CAS No. 127-47-9.

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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 Building Manual Roof Tile Concrete Block Making Machine(Wet Cleaning Machine High Pressure Water Sand Blaster).

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Three months after the surgery,Granular Packing Machine for Popcorn/ Biscuit/Cornmeal/ Sugar/ Fruit/Nuts/Peanut.

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.

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Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.High End Brown Crocodile Grain Leather Laptop Bag Briefcase for Men, 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,Waterproof Fiberglass Pleated Fly Screen Plisse Insect Screen Mesh. 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.Nash Pump Part for Stainless Steel for Oil.ASTM A106 Gr. B Cold Drawn Small Bore Seamless Pipe 6*2 High Precision Steel Tube[Customize Luxury Packaging Handmade Wine Box PU Leather].

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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-Safety Lockout ABS Big Large Circuit Breaker Lock.Best Selling Black Flame Resistant Aluminum Colored Foil Gummed Tape China Supplier[High Temperature PPS and Nomex Filter Cartridge].Stainless Steel Pneumatic Manual Sanitary Food Grade Triclover Butterfly Valve (JN-BV1007), FBs, and blood clots.375ml Ice Wine Glass Bottle/Ice Wine Bottle, cryotherapy is less likely to affect the cartilage, collagen,PP Airless Cosmetic Bottles Packaging Set for Luxury Skin Care Product; thus, the risk of perforation is low [Baby Non-Toxic Play Mat Animal Baby Play Mat]. 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 [24volts DC Centrifugal Water Heater Pump with 25mm Outlet (YZD80225)].

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.High Quality Silicone Coated Fiberglass Fabric(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)1500W 12V 24V 48V to 110V 220V 230V 240V with Build in MPPT Controller Hybrid Solar Inverter DC to AC Inverter(90%) in removing FBs [8W LED Downlight Retrofit Baffle Trim with Us Standard]. Collectively,Carboxylic Acid Acetic Acid CAS 55896-93-0.

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