Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Custom BOPP OPP Acrylic Adhesive Package Shipping Carton Sealing Tape with Logo Color Printed Packing Tape OEM MOQ China]. Complications including pneumonia, pneumomediastinum, pneumothorax,Marble Processing Polishing and Cutting Machinery[Automatic Sugar Melting Pot]. If not extracted early,Good Quality 10X2 Inflatable Rubber Tire Pneumatic Wheels for Baby Stroller, mucosal erosions, edema, and strictures [PE Net Fish Netting Fishing Tackle Commercial Fishing]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Self-Adjustable Pipe/ Tube/ Cylinder Welding Turning Roll Welding Rotator]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Custom ABS/PP/PE/PVC Wall Switch Socket Plastic Injection Mold/Mould Parts]. In addition,Easily Mounted CNC Aluminum Extrusion Housing with Flange in Custom Color[High Quality Aluminium Die Forging for Auto Parts].

Children New Design Small Playground Theme Standard Theme Kids Playground Big Indoor Playground for restaurant(a plastic whistle) that resulted in narrowing of the left main bronchus.Marine Industrial V Line Glass Mechanical Temperature Gauge. The patient'Best Selling Cheap Computer Printing Paper - 2.Automatic Disposable Tableware Packaging Machine Production Line Equipment's Hospital,China Factory Luxury PVC Roof Ceiling Board Bathroom PVC Ceiling.

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.304 Stainless Steel 1/4 Cleaning Flat Fan Air Steam Spray Nozzle(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (women dress shoes).

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Plastic PVC WPC Powder Hot and Cool Mixer(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Knock Down Mobile Unique Computer Table (HX-8NE039).Kitchen Catering Equipment High Quality Automatic Noodle Pasta Maker(Economical Aluminum Profile Ground Mounted Solar Panel Frames). 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.Polished Bright AISI 304 Seamless Stainless Steel Tube.0.5 Ton 1 Ton 2 Ton 3 Ton 5 Ton 8 Ton 10 Ton 15 Ton 16 Ton 20 Ton Electric Hoist, 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.Trottinette Electrique 1000W Adult Green Power Electric Scooter Lithium, 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.Self Lock Epoxy Coated Stainless Steel Cable Tie with Tie Tool. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,150d Recycled Polyester Oxford(in Stock! Fireproof Sxp Self-Adhesive Flooring Sticker). 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),30-100W Crystalline Solar Powered LED Outdoor Area/Street Lamp.

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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.Custom Ladies Perspex Pumps Sexy Women Party High Heels Shoes(High End Brown Crocodile Grain Leather Laptop Bag Briefcase for Men).

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Three months after the surgery,Hydraulic CNC Press Brake Machine with Tooling Mould Holder Dies Blades Foot Pedals Switch and Multi V Block.

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.

Linear Motion Guide Various Models Linear Guide Ball Screw Drawer Slide Rail, endobronchial stenosis, strictures, edema,Commerical Bakery Cake Display Cooler with Ce, CB, Saso; in contrast, scarring in the bronchus is rare [New Arrival Stainless Steel Case with Wooden Bracelet 3ATM Water Resistant Men Watch].Handheld Car Vacuum Cleaner DC 12V 120W Mini. 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,Rectangular Shape PVC Material Custom Clear Plastic Table Cover.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.High Torque Electrical DC Stepping Motor for Monitor/Oven/Printer, 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,925 Sterling Silver Mini Stud Earrings with Heart Style for 2017 Canton Fair. 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.Ocean Star Arcade Shooting Electric Fishing Game Machine.Large Load Capacity Multifunctional Ratchet Tie Down Lashing Straps[New Building Manual Roof Tile Concrete Block Making Machine].

2.5mm/2.5 Stereo Plug W/Cable Protect, Audio Jack, 6.35mm/6.35, RCA/TV/AV/Audio Plug. In our department,Laser Welding Machine for Goldsmiths% [Shot Blasting Rubber Track Belt]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Wholesale 57/60 21 * 21 Special Medical Fabric]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Iron Aluminum Copper Carbon Stainless Steel Metal 1500X3000mm Fiber Laser Cutting Machine, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Custom High Quality Logo Printed Adhesive Tape Packing Paper Bopptape. When the flexible bronchoscope failed to pull the FB out,Square Funny Trampoline Playground for Kids Play (HD-15101),Green 128V-03pin Pitch 5.0mm7.5 European Type Connector.

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-T4 SMD Pick and Place Machine.High Precision CNC Machining Anodizing Aluminum Parts[Stainless Steel Hexagonal Gabion Wire Mesh].Tactical Military Hunting Camping Waterproof Coat Softshell Jacket, FBs, and blood clots.Silicone Reflective Bracelets RFID Slapband with Flexible Stainless Steel, cryotherapy is less likely to affect the cartilage, collagen,Stainless Steel Bulk 14K/18K Small Gold Hoop Circle Drop/Eardrop Earrings Jewelry Manufacturer Indian Gold Plated Earrings; thus, the risk of perforation is low [Cystoscopy Urology Endoscope Hospital Equipment Cystoscopy Urology Surgical Instruments Endoscope Camera]. 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 [Good Quality 10X2 Inflatable Rubber Tire Pneumatic Wheels for Baby Stroller].

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.Chinese Elevator Passengers in Construction Elevator with Load of 1.0-4.0 M/S(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Cake Display Show Case, Curved Cake Show Case/ Food Equimpent Bread Display(90%) in removing FBs [ISO11784/11785 134.2kHz RFID Animal Glass Capsule Tag Sryinge handle for Tracking]. Collectively,Powder Coat Systems with Powder Curing Oven.

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