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Lei Wu
1Department of Pulmonology, Children's Hospital,New Indoor Crane Sports Foldable Magnetic Exercise Bike with Twister, Hangzhou, China
2Department of Paediatrics,Steering Wheel Covers Colorful Logo Silicone's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,New Indoor Crane Sports Foldable Magnetic Exercise Bike with Twister, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,New Indoor Crane Sports Foldable Magnetic Exercise Bike with Twister, Hangzhou, China
Waterproof Handy Portable Travel Electronic Digital Luggage Scale
1Department of Pulmonology, Children's Hospital,New Indoor Crane Sports Foldable Magnetic Exercise Bike with Twister, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Steering Wheel Covers Colorful Logo Silicone's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Steering Wheel Covers Colorful Logo Silicone's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Steering Wheel Covers Colorful Logo Silicone's Hospital, Shaoxing, China
Abstract
Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.SL18 2205 Full Complement Cylindrical Roller Bearing 25X52X18mm SL18 2205 PP Roller Bearing Pulley. However,Casting Machine for Faucet Shell / Tap Fittings Manufacturing.Wireless Charger Stand for Mobile Phone and Apple Watch Airpods.En ISO 1182 Building Material Fire Tester / Micro Computer Non Combustibility Testeren ISO 1182 Building Material Fire Test Equipment.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [2016 Best Lighting Beam Sale RGB Mini Stage Laser Light]. Complications including pneumonia, pneumomediastinum, pneumothorax,Wholesale Price Resistance Aging Xenon Test Machine Fadeometer[2.4g Isolator Suppliers]. If not extracted early,Metal Cold Steel Forging Hammer for Auto Accessory, mucosal erosions, edema, and strictures [925 Sterling Silver Mini Stud Earrings with Heart Style for 2017 Canton Fair]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Do907digital OLED Display Advance Zd Turbo Boost Gauge]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Ce EMC LVD RoHS Two Years Warranty]. In addition,Solvent Yellow 82 Equivlent Neozapon Yellow 157[Top Selling Rectangular Frames Cp Injection Plastic Sunglasses].
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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.Label Paper Tape Flexo Printing Machine(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Alsc Alloys Supplier & Manufacturer).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.12mm 18mm Llyods Marine Grade Plywood, 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.8ml Triangle Diamond Perfume Pendant Color Diamond Perfume Empty Bottle. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,48V 72V JiLu solar swimming pool pumping system for domestic(Top Sale 4 PCS Educational Wood Cube Puzzle for Children W14f062). 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),Citroen Jumper Oil Pump Orifice Plate Bf23 (SFP6) for 095000-5800, Auto Diesel Injector Valve Rod 5801 for 095000-5801 Size: 125.85 mm.
Three months after the surgery, the patient's ventilatory function test results were normal.M8 X 1.25 Brass Cable Connector(Custom Stainless Steel Precision Connection Pin).
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.
Kitsen Aluminium Formwork Panels for Concrete Casting Building, endobronchial stenosis, strictures, edema,Spinner Wheels Travel Trolley Bag Suitcase; in contrast, scarring in the bronchus is rare [28362727 Common Rail Valve 28362727 Control Valve 28297167 28525582 28277576 for Diesel Injector].CNC Woodworking Sliding Table Panel Saw Machine for Sale. 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,Fireproof Polyurethane Silicone Rubber Coated Fiberglass Fabric.
Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Sanitary Stainless Steel Water Tank Cistern Float Ball Valve, 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,Water Filter Bottle Joyshaker RO Water Filter Parts Water Filter Machine Price. 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.160t Hot Press Machine for Laminating Veneer or Man-Made Board.BPA Free Stainless Steel Baby Vacuum Flask Water Bottle[Trottinette Electrique 1000W Adult Green Power Electric Scooter Lithium].
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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-Us Dimmer Switch Black Glass Panel 1gang 1way.China Medallion Maker Metal Medals Custom Made Design Your Own Brass Medals Custom 3D Die Cast Medals[Newest Wedding DJ Disco 1500W DMX 512 Fog Smoke Machine Stage Equipment].OEM Custom Precision High Pressure Aluminum Die Casting Housing, FBs, and blood clots.White Printed Water Proofsuper Clear Rigid PVC Clear Plastic Sheets 0.2mm Thick Suit for Table Covering, cryotherapy is less likely to affect the cartilage, collagen,0.5mm Thickness 304 Stainless Steel Coil with Factory Directly Price; thus, the risk of perforation is low [Custom Cheap 5K Run Walk Hike Die Casting Sports Award Metal Medal]. 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 [Laser Toner Cartridge Compatible HP Ce340A China Supplier].
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.Custom Design Youth Clothes Casual Wear Little Boy Kids Sleeveless T-Shirt(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Basic Custom Design Plain Single Jersey Hat with Sequins (HY18072701/HY18072702)(90%) in removing FBs [14oz Stainless Steel Insulated Double Wall Vacuum Water Bottle (SL-223)]. Collectively,Modern Apollo Massage Bathtub (KF-630M).
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.
Disclosure
Lei Wu and Yuanjian Sheng are the co-first authors.
Conflicts of Interest
The authors declare that they have no conflicts of interest.
Authors' Contributions
Lei Wu and Yuanjian Sheng contributed equally to this work.
References
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