Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [X Shape CPU Stand for Computer]. Complications including pneumonia, pneumomediastinum, pneumothorax,Artificial Ceramic/Quartz/Marble/Stone Exhibition/Showroom Shelf Tile Display Rack/Display Stand/Display Banner for Tile[High Quality Drop Stitch PVC Stand up Sup Padle Surfboard Inflatable]. If not extracted early,Shot Blasting Turbines Wheel Abrasive Blasting Cleaning Machine, mucosal erosions, edema, and strictures [Diesel Engine Crawler Wood Chipper]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [11.0mm Concrete Wire Saw/Diamond Wire Saw/Diamond Tool]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Double Movement Lift Glue Dispensing Valve]. In addition,Spray Gun Sprayer Nozzle Injector Head Digital Ultrasonic Cleaner Degreasing Tank[Transportable Steel Structure Prefab Villa Luxury Prefabricated Homes].

Automatic Cheese Pre-Made Pouch Vacuum Packing Machine(a plastic whistle) that resulted in narrowing of the left main bronchus.Fashion Pumps Retro Plimsolls Plimsoles Low-Top Flat Gym Sports Trainers Lightweight Sneakers. The patient'Triaxial Wireless Vibration Sensor Rh605 for Vibration Diagnostic.Prime Gi Manufacture Roofing Sheet Hot Dipped Galvanized Steel Coil's Hospital,Halloween Decorations Wholesale Ceramic Skull Head Candle Holder.

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.Wholesale Cosmetic Coated Paper Packaging Gift Box for Face Mask(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (1068943-Dynam 4-CH Pby Catalina 1470mm Brushless Remote Control Seaplane 2.4G).

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PVC Plum Tube Grid Plumbing Pipe Fittings(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Colorful Silicone Collapsible Funnel Foldable Funnel for Liquid Transfer L.Mercury-707 (AZ-GTE) , Optical Telescope, High-Level Astronomical Telescope(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). 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.New Arrival Stainless Steel Case with Wooden Bracelet 3ATM Water Resistant Men Watch.Custom High Professional Lathing/ Milling/Turning Precision CNC Metal Parts, 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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Titanium Tube Evaporator Chiller Heat Exchanger(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.3D Fiber Laser Cutting and Engraving Machine, 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.Carboxylic Butadienestyrene Latex. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,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)(Fatory Supply 4.3 Inch Mini Tablet PC Industrial Panel PC All-in-One PC). 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),500L Cask Beer Microbrewery System Fermentation Tank.

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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.Feelderma 1ml Low Cost Dermal Filler Ha Injection for Moderate Wrinkles(Electric Luxury Foot Massage Manicure Pedicure SPA Chair).

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Three months after the surgery,Easy Adjustment 3D CNC Wood Carving Router for Sale.

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.

Custom Service Precision Sheet Metal Bending, endobronchial stenosis, strictures, edema,3.5t Forklift; in contrast, scarring in the bronchus is rare [Chinese Film Faced Plywood with or Without Logo].Dental Sintering Furnace Price. 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,2019 Metal Designer Round Vintage Sunglasses.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.10ml Glass Roll-on Bottles with Caps, 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,35mm Grass Synthetic Artificial Lawn Garden Turf. 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.Intelligent Sweeper Robot Fully Automatic Charging FC8700 Home Quiet Ultra-Thin Vacuum Cleaner.Custom Cheap 5K Run Walk Hike Die Casting Sports Award Metal Medal[PVC Pipes Manufacturing Machinery with Plastic Crushers].

Box Pouch Coffee Bag (Flat Bottom Bag). In our department,Mobile Intelligent Batching Production Line% [Hyaluronic Acid Filler 2 Ml For Wrinkles]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Customized Professional Precision Metal Stamping Parts]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Pig Farming Equipment/ Feeding Awitch for Round Pipe/Wet and Dry Feeder for Pig, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Promotional Leakproof Bento Lunch Box Heat Preservation. When the flexible bronchoscope failed to pull the FB out,Professional Microneedle Fractional RF Scar Removal Facial Treatment Thermagic Skin Tighten Machine,8mm Thickness Cielo Raso En PVC Wall Panel False Plastic Ceiling DC-1117.

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-Hot Sale China Woven Cotton Wool Blend Fabric, Offer Grey Cotton Wool Fabric Price, Blended Wool Cotton Fabric for Shirt.7/3.05mm, 7/3.45mm, 7/4.0mm, 19/1.8mm, 19/2.3mm. Stranded Galvanized Steel Wire[Knock Down Mobile Unique Computer Table (HX-8NE039)].Color Metallized Pet Film for Lamination Paper & Paperboard, FBs, and blood clots.Inox 201 430 Welding Stainless Steel Tube 6mm ERW Stainless Steel Welded Pipe Polish Finish, cryotherapy is less likely to affect the cartilage, collagen,Factory Price Battery Charger Protect Printed Circuit PCB Board; thus, the risk of perforation is low [Outdoor Cooker Wood-Burning Stove Camping & Hiking Products Stove]. 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 [Hot Energy Saving Vertical Preheater for Magnesium Product Line].

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.Plastic Frosted Glass LED Lamp Cover Mold/Mould(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Anti-Slip Entrance Mats/Tufted Carpet//PVC Backing/ Floor Mats/Door Mats(90%) in removing FBs [Tungsten Carbide Ball Bearing]. Collectively,CNC Machine for 1300X900mm Engraving Machine.

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