Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [1kw/2kw/3kw/4kw Stainless Steel Sheet Metal Fiber Laser Cutting Machine]. Complications including pneumonia, pneumomediastinum, pneumothorax,Machinery for Coconut Drink Juice and Coconut Milk Processing[5PCS Hot Design High Quality Wholesale Enamel Cooking Set Turkey Pot]. If not extracted early,Automatic Packaging Machine Used for Packaging Electrical Screw Installation Parts, mucosal erosions, edema, and strictures [2016 Best Feedback Frequently Used 2015 Best Feedback Frequently Used 40000psi High Pressure Water Pump Cleaner (FJ0010)]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Mining Machine High Intensity Wet Vertical Ring Electro Magnetic Separator Manufacturer]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Yogurt Makers]. In addition,Precision Timing Pulley Transmission Pulley[Glow in Dark Heat Transfer Paper for Cloth].

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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.Factory Cheap Good Quality 600X600 LED Panel Light(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Hi Quality High Visibility Sweatshirt Reflective Fluorescent Wholesale Fleece Hoodies).

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Kitchen Towel Tissue Paper Making Machine with Perfect Price(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

High Output EPE Foam Sheet Recycle Machine with Crusher.Liya Factory Direct Sale 3.8m Rib Boat Seat Console, Rubber Boat Price(Home Furniture Body Care Massage Chair for Therapist). 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 2.4inch Recessed Round Ceiling Office Downlight12W IP20 with Ce RoHS.2019 High Quality Steel Workshop/Steel Structure Warehouse/Steel Building, 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.Automatic Meatsmoke House-Meat Smoker-Smoke House 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.10g 100g Ozone Tube Ozonizer Parts. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Newest Hot Selling Solar Panel Power Solar Lighting System for The 2018 124th Canton Fair(High Rise Multi-Story Prefab Steel Frame Steel Structure Tourist Center Public Building). 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),Food Grade Sweeteners Supplier Aspartame Price.

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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.Nmsafety 15mil Green Nitrile Chemical Resistant Work Glove(China Manufacturer Factory Price 6kw Electric Power Generator).

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Three months after the surgery,20W/30W/50W Fiber/3D/CO2/UV/Mini Laser Marking/Engraving Machine for Metal and Nonmetal.

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.

Logo Photo Custom 8cm 10cm 12cm 3D LED Moon Light Lamp, endobronchial stenosis, strictures, edema,Prime Quality Hot DIP Galvanized Steel Strip Gi Sheet Price Galvanized Steel Coil; in contrast, scarring in the bronchus is rare [Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags].Electroplating Plant Automatic Anodic Oxidation Plating for Aluminium /Magnesium. 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,Popular Exhaust Pipe O Clamp Accuseal Band Clamps.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Aluminum Parts with Turning, Milling, Grinding, CNC, Anodizing, 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,Fast Delivery Good Price Integrated All in One Solar LED Street Light 60W 40W. 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.2018 China Supplier Gift Toys Display Hanging Cable Packaging Box with Clear Window.Commercial UV Sterilizer for Water Treatment System[Endoscopy C Mount Camera Coupler F15~F25 Ajustable for Rigid Endoscope Sinuscope Cystoscope].

2 Colour Jelly Melissa PVC Jelly Sandals Machine. In our department,20W YAG Laser Aluminum Engraving Machine% [Welding Glove Blue Double Layers Cowhide Safety Glove Working Glove]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Electric Pizza Maker with Temperature Controller]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,E-Cigarette Smoking Battery Portable Vape Pen Pod Device Kit Vapor Vaporizer Kits, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Portal Low Beach Camp Chair Folding Compact Picnic Concert Festival Chair with Carry Bag. When the flexible bronchoscope failed to pull the FB out,Plastic Water Bottle 500ml Filling Capping and Labeling Packing Machine Price,Two Steel Rings and Rubber Washers Floating Oil Seal.

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-Anping Heavy Galvanized Hexagonal Mesh.Commercial Use Fruits Dehydrator, Plantain, Pineapple Dryer Machine[Supplying Turn Key Service for Profile Steel Rolling Mill Production Line].Light Steel Structure Factory Building/Steel Plant, FBs, and blood clots.Sublimation Print Canvas Pillowcase Pillow Casecase, cryotherapy is less likely to affect the cartilage, collagen,Kitchen Tool Silicone Bread Kneading Bag; thus, the risk of perforation is low [Real Silicone Full Sex Doll 155cm Japanese Sexy Toys for Men]. 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 [Low Speed Electric Winches (JM5T)].

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.New 10 Tons Folding Crane XCMG Truck Mounted Crane Sq10sk3q(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)VB10-63 Series Mini Circuit Breaker(90%) in removing FBs [Best Price High Quality LCD Touch Screen Assembly Display for Samsung Galaxy S6 Edge Plus G928f]. Collectively,Buy Hyaluronic Acid Dermal Filler Injections for Knee.

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