Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Double Movement Lift Glue Dispensing Valve]. Complications including pneumonia, pneumomediastinum, pneumothorax,9W LED T8 Tube Light IP20 0.6m 2FT for Indoors[Custom Made Stainless Steel Case]. If not extracted early,3 Axles Flat Bed Semi-Trailer for 40FT Container, mucosal erosions, edema, and strictures [Transportable Steel Structure Prefab Villa Luxury Prefabricated Homes]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Quality Natural Iodized/Non-Iodized Edible Salt China Salt]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [50W/75W/80W/100W/150W/300W/400W/450W/500W/600W/650W/700W/800W/900W/1000W/1200W/1500W LED Grow Light for Indoor Marijuana/Cannabis/Hemp Growing]. In addition,Rubber Seal Made of Silicone From China Manufacturer[Cookies Bread Cake Packing Machine].

European Style Wall Papers Home Decor Embossed 3D Damask Wallpaper Roll(a plastic whistle) that resulted in narrowing of the left main bronchus.Pack Box Paper, Fast Food Paper Bag Paper Coating Machine. The patient'Standard Flexible PVC Helix Industrial Suction Hose.Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D)'s Hospital,Cold Room and Freezer for Fish, Meat, Food, Fruit, Vegetable.

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.Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Dong Guan Yiwu 1280/1600/1620mm 4000m 6000m Clear/Brown/Tan OPP BOPP Adhesive Packing Tape Jumbo Roll China Factory Manufacutre OEM).

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5 Axis CNC Milling Machine for Plaster Molds Statues Making.Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries(Electric Luxury Foot Massage Manicure Pedicure SPA Chair). 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 Newest Promotion Flocked PVC Travel Neck Pillow with Strap.Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven, 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.Fashion Sided Control Panel Smart Electronic Bidet, 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.50W CNC Fiber Laser Marking Machine Laser Engraving Machine. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L(Chinese Film Faced Plywood with or Without Logo). 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),Zinc Plated Flat Big Head Clout Nail for Roofing.

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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.2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%(PVC Pipes Manufacturing Machinery with Plastic Crushers).

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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.

Performance Multiple Steel Pipe Bending, endobronchial stenosis, strictures, edema,Rough Top Conveyor Belt Rubber Conveyor Belts; in contrast, scarring in the bronchus is rare [Knock Down Mobile Unique Computer Table (HX-8NE039)].Open Cell EPDM Sponge Foam Sheet for the Gasket. 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,Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards, 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,Nail Polish Machine Set with 6 Acrylic Gel Remover Pedicure Tools Nail Art. 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.Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel.Metal Cleaning Wet Sand Blasting Machine Water Sandblasting Machine[Outdoor Cooker Wood-Burning Stove Camping & Hiking Products Stove].

PP Bag with Recycle Material with Very Cheaper Price. In our department,High Quality LC Quad APC Upc 4 Cores Standard Fiber Optic Adapter% [Pastry Equipment Baking Machine]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Hot Energy Saving Vertical Preheater for Magnesium Product Line]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing 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,DMD Insulation Paper for Insulation Moter 6641. When the flexible bronchoscope failed to pull the FB out,Dt1703 Intelligent Bathroom Sanitary Ware Comfortable Fashion Design Smart Toilet,Vitamin a Acetate 0.325miu Beadlet CAS No. 127-47-9.

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 Building Manual Roof Tile Concrete Block Making Machine.Granular Packing Machine for Popcorn/ Biscuit/Cornmeal/ Sugar/ Fruit/Nuts/Peanut[Round Downpipe Roll Forming Machine].No Pedals Kids Balance Bike / Baby Running Bike / Children Walking Balance Bicycle 12inch Customizable Color Balance Cars, FBs, and blood clots.Sanki China Adblue Water Tank, cryotherapy is less likely to affect the cartilage, collagen,U Shape Car Door Plastic Extrusion Profile; thus, the risk of perforation is low [High Quality Customized Steel Structure Warehouse (BYSS-121801)]. 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 [Anti Riot Suit; Chemical Suit; Riot Control Suit].

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.FTP CAT6A Keystone Jack for Network Cable RJ45 Keystone Jack(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)High End Brown Crocodile Grain Leather Laptop Bag Briefcase for Men(90%) in removing FBs [Galvanized Guy Wire]. Collectively,Waterproof Fiberglass Pleated Fly Screen Plisse Insect Screen Mesh.

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