Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Water Filter Bottle Joyshaker RO Water Filter Parts Water Filter Machine Price]. Complications including pneumonia, pneumomediastinum, pneumothorax,Baby Non-Toxic Play Mat Animal Baby Play Mat[LED Solar Christmas Lights for Outdoor Christmas Holiday Decorations]. If not extracted early,Children Cosmetic Set Girl Make up Toys Beautiful Girl Toys Fashion Girls Beauty Play Set Toys, mucosal erosions, edema, and strictures [Portable 808nm Beauty Salon Equipment IPL Shr Elight Diode Laser Hair Removal Diode Laser 755 808 1064 Laser Diode 808nm Diode Laser Permanent Hair Removal]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Industrial Grade COB LED Jumbo Pen Light with Pocket Clip]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [China Jinan Hot Sale Woodworking Wood CNC Router Machine]. In addition,Jlt-9305 LED Desk Table Lamp with USB Port Wireless Charging[High Quality Watermark Kitchen Sink Flexible Faucet].

Squeeze Bottle Ketchup Food Oil Dispenser Plastic Sauce Squeeze Bottle with Screw Cap(a plastic whistle) that resulted in narrowing of the left main bronchus.Sandy Nitrile Glove-Hi-Vis Yellow Safety Work Glove (ST2050HVY). The patient'Heavy Duty 6X4 HOWO A7 Tractor Truck for Sale.Cheap Plain Sublimation Men Custom Factory Wholesale Men High Quality Fashion Casual Sweatshirt Hoodies's Hospital,Brown Color Artificial Marble Big Slab (QG151).

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.12864cog-17A Graphic Stn DOT Matrix LCD Display with Yellow-Green Screen for Gas Meter(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (High Quality Heavy Action Composite Surfcasting Fishing Rod).

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SUS304 Pan HD Phillips Drives Self Tapping Screw (Fasteners& hardware)(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

3D Printer Plastic Filament 1.75 2.85 for Smooth Printing.Adhesion Temporary Protection PE Protective Film for Wood Furniture(Highly Waterproof LED Blinder Audience COB Light with Best Price of 400W Lamp). 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.Halloween Decorations Wholesale Ceramic Skull Head Candle Holder.Waterproof Hard Tool Case Military Toolboxes, 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.High Quality Polished Capillary Stainless Steel Pipe, 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.Steel Continuous Cold Rolling Mill (Tandem). However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Furimach L-Type PVC Electrical Insulation Tape Packing Machine/BOPP Tape Packing Machine/ Masking Tape Wrapping Machine(China Industrial Forging Furnace Manufacturer by Induction Heating 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),Copper Oxychloride 30% SC Fungicide & Bactericide.

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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.Artificial Ceramic/Quartz/Marble/Stone Exhibition/Showroom Shelf Tile Display Rack/Display Stand/Display Banner for Tile(Powder Coating Raw Materials Industrial Chemicals HPMC).

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Three months after the surgery,Shot Blasting Turbines Wheel Abrasive Blasting Cleaning Machine.

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.

Spray Gun Sprayer Nozzle Injector Head Digital Ultrasonic Cleaner Degreasing Tank, endobronchial stenosis, strictures, edema,Automatic Cheese Pre-Made Pouch Vacuum Packing Machine; in contrast, scarring in the bronchus is rare [Fingerprint Industrial PDA Barcode Scanner Android with Built-in Printer (T980)].Fashion Pumps Retro Plimsolls Plimsoles Low-Top Flat Gym Sports Trainers Lightweight Sneakers. 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,Triaxial Wireless Vibration Sensor Rh605 for Vibration Diagnostic.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Prime Gi Manufacture Roofing Sheet Hot Dipped Galvanized Steel Coil, 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,Wholesale Cosmetic Coated Paper Packaging Gift Box for Face Mask. 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.PVC Plum Tube Grid Plumbing Pipe Fittings.Colorful Silicone Collapsible Funnel Foldable Funnel for Liquid Transfer L[Wholesale Elastic Wide Heandbands Outdoor Sports Quick-Dry Cooling Headband].

Mercury-707 (AZ-GTE) , Optical Telescope, High-Level Astronomical Telescope. In our department,New Arrival Stainless Steel Case with Wooden Bracelet 3ATM Water Resistant Men Watch% [Adult Unisex Hooded Sweatshirt Realistic 3D Print Fleece Pullover Hoodie with Big Pockets]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Cold Rolled Steel Sheet with Al-Zn Coating Layer for Machinery]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Custom High Professional Lathing/ Milling/Turning Precision CNC Metal Parts, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Titanium Tube Evaporator Chiller Heat Exchanger. When the flexible bronchoscope failed to pull the FB out,3D Fiber Laser Cutting and Engraving Machine,Carboxylic Butadienestyrene Latex.

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-UV LCD 3D Printer Orange 10, SLA Resin 3D Printer with 2.8-Inch Full Color Touch Screen off-Line Print Build Volume 3.86 (L) X 2.17 (W) X 5.5 (H).500L Cask Beer Microbrewery System Fermentation Tank[OEM Plastic Products for Vacuum Cleaner Sweeper Spare Parts Plastic Injection Moulding].Feelderma 1ml Low Cost Dermal Filler Ha Injection for Moderate Wrinkles, FBs, and blood clots.Easy Adjustment 3D CNC Wood Carving Router for Sale, cryotherapy is less likely to affect the cartilage, collagen,Custom Service Precision Sheet Metal Bending; thus, the risk of perforation is low [12mm 18mm Llyods Marine Grade Plywood]. 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 [P10 1r V706 Hub12 LED Display Module for Running Message].

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.3.5t Forklift(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Dental Sintering Furnace Price(90%) in removing FBs [Bamboo Sheets Bedding Set]. Collectively,2019 Metal Designer Round Vintage Sunglasses.

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