Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Large Load Capacity Multifunctional Ratchet Tie Down Lashing Straps]. Complications including pneumonia, pneumomediastinum, pneumothorax,Flying Horse Amusement Park Electric Mini Track Train Rides for Sale[A356 Aluminum Alloy Casting]. If not extracted early,Electric Horizontal Single Stage End Suction Centrifugal Water Pump, mucosal erosions, edema, and strictures [Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [China Large Size 3D Printer Full Enclosed Metal Framework 600X600X600 mm Printing Size 3D Printer Larger D600]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Cut off Flap OEM Metal Abrasive Polishing Grinding Cutting Disc]. In addition,Qtj4-40 Cement Brick Moulding Making Machine Manufacturing[Sport E-Motorcycle Scooter Backward Driving Support].

Aluminium Slug top quality Suppliers(a plastic whistle) that resulted in narrowing of the left main bronchus.Stainless Steel Hexagonal Gabion Wire Mesh. The patient'Antique Silver Basketball Sport Souvenir Coin Coin Holder Keychain.Galvanized Plain Elbow with Flate Iron Pipe Fitting's Hospital,Injection Rice Cooker Plastic Parts Mold.

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.Black Oxidation Stainless Steel Wire Rope Mesh Bird Cable Netting SS304 316(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (China Bond Mortar High Viscosity Industrial Grade HPMC).

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DVB Remote Control Wireless 34 Keys(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Automatic Plastic Bottles/Jars/ Serigraphy Screen Printing Machine with UV LED Curing.Hand Pallet Truck for 2500kg(Kitchen Towel Tissue Paper Making Machine with Perfect Price). 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.Hot Sales Hydraulic Hose Crimping Machine.9.6m Aluminum Fish Collect Boat for Fisherman with Fast Speed, 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.Hotel Electric Kettle with Melamine Trays for Guest Room, 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.OEM Special Price WPC PVC Foam Board Profile Making Equipment Machine. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,DC12V 24V Upright Solar Power Refrigerator (BCD-106L)(Hot Wireless 1080P 4CH CCTV Surveillance WiFi NVR Kits (NVR+4 IP Cameras)). 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),100% Original New Mobile Accessory for iPhone 7 LCD Touch Screen LCD Display Screen for iPhone 7.

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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.Galvanized Oval Wire 2.2X2.7mm for Farm Fencing(12-96 Core Fiber Optic Splice Closure Optical Fiber Joint Box).

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Three months after the surgery,Luxury Acrylic Jewelry Necklace Display Rack for Jewellery Shop.

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.

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Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.HRC45/55/60/65 High Precision 3 Flute Carbide Endmill Roughing End Mill, 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,Multilayer Jerry Can Plastic Bottle Blowing Machine for HDPE PP. 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.New Indoor Crane Sports Foldable Magnetic Exercise Bike with Twister.Steering Wheel Covers Colorful Logo Silicone[Stainless Steel Body Dual Plate Check Valve].

Waterproof Handy Portable Travel Electronic Digital Luggage Scale. In our department,SL18 2205 Full Complement Cylindrical Roller Bearing 25X52X18mm SL18 2205 PP Roller Bearing Pulley% [Aluminum Lighting Truss Wedding Stage Truss]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Kitchen Catering Equipment High Quality Automatic Noodle Pasta Maker]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Casting Machine for Faucet Shell / Tap Fittings Manufacturing, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Wireless Charger Stand for Mobile Phone and Apple Watch Airpods. When the flexible bronchoscope failed to pull the FB out,En ISO 1182 Building Material Fire Tester / Micro Computer Non Combustibility Testeren ISO 1182 Building Material Fire Test Equipment,Wholesale Price Resistance Aging Xenon Test Machine Fadeometer.

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-Metal Cold Steel Forging Hammer for Auto Accessory.Solvent Yellow 82 Equivlent Neozapon Yellow 157[High Quality Melamine Polyphosphate (MPP) Flame Retardant for PP Plastics].Fully Automatical Stacked Screw Sludge Dewatering Equipment for Wastewater Treatment, FBs, and blood clots.Axially Split Pump by Investment Casting, cryotherapy is less likely to affect the cartilage, collagen,China Injection Plastic Drawer Container Mould Manufacture; thus, the risk of perforation is low [Sturdy Luxury Garden Swing Garden Hammock]. 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 [Custom Pharmacy Corrugated Paper Shelf Floor Counter Dispenser Lipgloss Cosmetics Display].

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.Metal Abrasive Grinding Wheel Disc for Concrete Polishing Steel Disc(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Label Paper Tape Flexo Printing Machine(90%) in removing FBs [2.5 Inch Tft 480]. Collectively,Juki SMT Chip Mounter for LED Light Assembly.

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