Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Outdoor Playground Rubber Tile Flooring Durable and Strong]. Complications including pneumonia, pneumomediastinum, pneumothorax,Aseptic Cold Filling Ultra Clean Aluminum Beverage Cans Canning Equipment/ Plant Filling System[Screw Compressor Heat Exchanger With Fan]. If not extracted early,Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration, mucosal erosions, edema, and strictures [20FT 25m3 Stainless Steel Tank Container for Waste Oil and Water]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [80kw/100kVA Electric Power Silent Yto Engine Diesel Generator]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Men′s Three Piece Sport Suit Compression T Shirt Ruffle Tracksuit Stretch Shorts Quick Drying Leggings Training Clothes]. In addition,Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket[PP Synthetic Paper for Offset UV Flexible Screen Printing].

Press Filter for Mining Industry Sludge Treatment(a plastic whistle) that resulted in narrowing of the left main bronchus.Fashion Luminous LED Wrist Watch Silicone Sport Watch (JY-SD008). The patient'2018 New Products Popular Bugles Snacks Making Machine.LED Remote Display Control Board for Distance Tripmeter PCBA's Hospital,Motorcycle Spare Parts Air Filter/Cleaner/Element/Filtro De Aire for Honda Gfm, Wh110t-a, Ggc, 110t, SDH110t-2-3, Hph Wh125-6, K48, Ns110.

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.Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Genuine Leather Belts).

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Extruded Wheat Fried 3D Pellet Bugles Crispy Chips Frying Machine.Moving Head Rain Cover, Waterproof Moving Head Light Cover(Cast Iron Bistro Table Base Vintage Fancy Table Leg). 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.Rock Climbing Mountaineering Polyester/Nylon Braided Ropes.New Item for Stainless Steel Cutlery with The Plastic Handle, 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.Polypropylene Foam Corrugated Plastic Board Dividers, 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.Vibrication Free Quolified Wine Cooler. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Automatic Stop Cylinder Screen Printing Machine Jb-720A(Rectangular Shape PVC Material Custom Clear Plastic Table Cover). 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),Powerful Electric Motorcycle EEC New Electric Scooter.

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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.Jp Papermaking Dryer Cylinder Balancing Machine(Mc3015 Hot Sale 1kw 1.5kw Fiber Laser Cutting Machine).

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Three months after the surgery,White Color Garden Security PVC Fencing Panel.

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.

PVC Board /Sticker /Sticker Photos Half Digital Cutting Machine, endobronchial stenosis, strictures, edema,Factory Best Price Air Driven Oil Free Micro Air Booster Pump for Sale; in contrast, scarring in the bronchus is rare [Triaxial Wireless Vibration Sensor Rh605 for Vibration Diagnostic].Super Silent Open Diesel Electric Generator Powered by Perkins Cummins Ricardo Weichai Engine. 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,Regulated Type Hydraulic Cylinder with Carbon Steel.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Stainless Steel 150lb Thread Pipe Fitting, 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,Office Workstation White Table Surface with Wood Cabinet Executive Office Desk (TW-OFTB-0041). 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.Computerized Big Plastic Block and Lump Dual Single Shaft Shredder.Single Ball Rubber Sleeve Expansion Joint EPDM[Printed Adjustable Cats Necktie Cord Pet Triangular Bandage Saliva PU Leather Dog Scarf Collar].

New Corn Snacks Food Making Machine Snack Pellet Food Making Extruder Puff Food Extrusion Processing Line. In our department,Small Cylindrical Hole SmCo Magnet with Strong High Quality% [Dragon Ear Cuff]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Factory Supply Bar Soap Packaging Machine/ Hotel Soap Packaging Machine]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,DIN Pn16 110mm UPVC Pipe Fittings PVC Van Stone Flange, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Sling Bag Water Resistance Crossbody Chest Backpack Cycling Gym Fashion Bags Sack. When the flexible bronchoscope failed to pull the FB out,Decorative Architectural Stainless Steel Wire Mesh/ curtain Mesh/Elevator Decorative Mesh4,Best Price Roof/Mountain Solar Mounting Bracket Component for Solar System.

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-500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel.Aluminum Ingot Cheap Price High Purity 99.0%~99.9%[New Corn Snacks Food Making Machine Snack Pellet Food Making Extruder Puff Food Extrusion Processing Line].Peb Pre-Engineered Steel Structure for Building Warehouse/Workshop/Factory, FBs, and blood clots.Good Price High Quality Offset Printing Paper Sheets, cryotherapy is less likely to affect the cartilage, collagen,Semi Precious Stone Natural Crystal Labradorite Display Gemstone; thus, the risk of perforation is low [Spiral Clamp Without Rubber for Suspension Duct]. 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 [Ce Marked 300W Esu Plus Electrosurgical Generator (THR-HV300BPlus)].

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 Frequency Heavy Duty Board Jointing Machine/ High Frequency Board Composer in Order to Make Wood Board Seems Like Finger Jointed Wood(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Professional Customer Mini Grinding Machine Corn Hammer Mill for Sale(90%) in removing FBs [Bangle Bracelet Jewelry Suppliers for Sale]. Collectively,2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888.

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