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Abstract

Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.Lipo Laser Cavitation RF Therapy vacuum LED Repel Cellulite Vacuum Cavitation Slimming. However,Chinese Sea Frozen Bonito Price (200g).Venus 2019 Hot 2216 LED Strip Decorative LED Light.Customized Hot Resistant Silicone Cup Lid for Gifts.

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Mens PU Patchwork Casual/Hooded/Crew Neck/Pullover Black/Grey Zip up Sweatshirt/Hoodie]. Complications including pneumonia, pneumomediastinum, pneumothorax,Cheap Price 1.6 Ton Crawler Excavators Hydraulic Crawler Mini Excavators[Welding Mask Gift]. If not extracted early,Custom Make Cheap Mono Segment Tn Htn LCD Glass Display, mucosal erosions, edema, and strictures [Hot DIP Galvanized Steel Spring Wire]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Canvas Luxury Camping Tents Outdoor Canvas Bell Tent for Sale]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Square Funny Trampoline Playground for Kids Play (HD-15101)]. In addition,Pump and Compressor Rubber Vibration Mount Isolator[Drawing Die of Wheelbarrow Trolley].

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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.Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Custom Print Logo Double-Deck Golf Practise Balls).

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Object name is CRIM2019-4616298.001.jpg

Double Color PVC Coil Mat/Floor Mat/Door Feet Mat/Car Feet Mat Making Machine(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.40W Outdoor Cool White Lighting Rotatable Solar Cell Street Light, 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.High Efficiency Widely Usage Feed Pellet Machine for Dairy Farm. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Drawing Die of Wheelbarrow Trolley(Mining Machine High Intensity Wet Vertical Ring Electro Magnetic Separator Manufacturer). 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),9W LED T8 Tube Light IP20 0.6m 2FT for Indoors.

An external file that holds a picture, illustration, etc.
Object name is CRIM2019-4616298.003.jpg

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.3 Axles Flat Bed Semi-Trailer for 40FT Container(Yogurt Makers).

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Object name is CRIM2019-4616298.004.jpg

Three months after the surgery,Rubber Seal Made of Silicone From China Manufacturer.

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.

European Style Wall Papers Home Decor Embossed 3D Damask Wallpaper Roll, endobronchial stenosis, strictures, edema,Pack Box Paper, Fast Food Paper Bag Paper Coating Machine; in contrast, scarring in the bronchus is rare [Pharmaceutical Automatic Powder Filling Capsule Machine Size 0].Standard Flexible PVC Helix Industrial Suction Hose. 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,Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D).

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale, 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,Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round. 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.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[Home Furniture Body Care Massage Chair for Therapist].

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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-Zinc Plated Flat Big Head Clout Nail for Roofing.2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%[High Rise Multi-Story Prefab Steel Frame Steel Structure Tourist Center Public Building].Luda Concrete Bitumen Mixing Plant From 80t/H to 320t/H for Sale, FBs, and blood clots.Performance Multiple Steel Pipe Bending, cryotherapy is less likely to affect the cartilage, collagen,Rough Top Conveyor Belt Rubber Conveyor Belts; thus, the risk of perforation is low [China Manufacturer Factory Price 6kw Electric Power Generator]. 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 [Metal Cold Steel Forging Hammer for Auto Accessory].

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.Open Cell EPDM Sponge Foam Sheet for the Gasket(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls(90%) in removing FBs [Fixed Auto Start Diesel Generator Set Container Type Genset for Marine Use]. Collectively,13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards.

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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