Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Metal Parts Powder Coating Production Line Supplier From China]. Complications including pneumonia, pneumomediastinum, pneumothorax,Poster Printing Bright White Matte Coated Inkjet Photo Paper 108GSM, 128GSM, 180GSM[Office Mall Glass Partition Steel Frame]. If not extracted early,New Castle Style for Children Kids Outdoor Indoor Playground Big Slides Good Quality with En 1176 Standard, mucosal erosions, edema, and strictures [Suppliers LC Sc FC St MTRJ MPO Fiber Optical Adaptors]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Molded PVC Rubber Tube End Cap for Lab Apparatus]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Bamboo Wood Bathroom Bathtub Caddy Wooden Bath Caddy Tray]. In addition,China Hydraulic Station Suppliers Provide Multiple Models Hydraulic Power System Hydraulic Motor Hydraulic Station and a Variety of Hydraulic Valves[Round Hot Nozzle Heater].

(SP-LC814) Modern Leather Furniture Dining Chair Vintage Leather Chair Cheap Hotel Banquet Chairs(a plastic whistle) that resulted in narrowing of the left main bronchus.OEM Turning Lathe Part CNC Machining. The patient'Perfect China Hardware Supplier Carbon Steel /Stainless Steel Pressing Parts.OEM CNC Lathe Machining Stainless Steel Non-Standard CNC Metal Machining Parts's Hospital,Building Material Spc Vinyl Floor Laminate Flooring Manufacturer for Interior Decoration.

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.Molybdenum Glass Melting Electrode with Male and Female Threads(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Metal Stamping Plates Wholesaler Quotes & PriceList).

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Melamine Coated HDF Door Skin(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Wholesale Price Payslip computer form pin mailer printer roll carbonless paper NCR ATM.Motorcycle Accessory Parts Carburetor for Gy6-125 Gy6-150 Bikes(Indian Style Fabrics for Shoes Bags (HH3)). 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.Screw Granule Packing Machine for Bathroom Cabinet Hardware Accessories.High Efficient Automatic Soldering Machine with Competitive Cost for Mobile Phone, 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 25W 30W 35W COB LED Wall Washer Track Light with Dimmable, 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.Factory Supply Best Quality Pem Ozone Generator for Air Space Disinfection. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Cast Iron Bistro Table Base Vintage Fancy Table Leg(Children Cosmetic Set Girl Make up Toys Beautiful Girl Toys Fashion Girls Beauty Play Set Toys). 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),High Quality Custom Metal Keyring Bottle Opener (Ele-BO018).

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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.2.0MP 1080P HD 3G 4G SIM Card WiFi Wireless CCTV IP Camera with Bulit in Battery P2p Network Video Home Security(Small Cylindrical Hole SmCo Magnet with Strong High Quality).

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Three months after the surgery,Light Duty Metal Pegboard Counter Top Cell Phone Accessory Display Stand with Hooks.

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.8 Hours Warm Portable Hand Warmer, 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,Chinese Modern Outdoor Garden Livingroom furniture Aluminum Modular Lounge Corner Sofa Set. 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.Hongri Boron 65mn Steel More Durable Disc Blade Disk for Agricultural Tractor Harrow Plough.Fancy Crystal Whiskey Glass Drinking Glass Cup[Nootropics Human Growth Polypeptide Selank for Anti-Depression].

Filler Masterbatch Making Extruder with Capacity 300kg Per Hour. In our department,The Best Material for Building, PPGI/PPGL Steel Coil/Sheet% [Tractor Pto Shaft 01 a for Agriculture Machinery]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Low Investment Food Dryer Equipment]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Top Quality Wear-Resisting Submersible Vertical Industrial Coal Mining Dredge Portable Concrete Slurry Centrifugal Water Pump, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Sturdy Luxury Garden Swing Garden Hammock. When the flexible bronchoscope failed to pull the FB out,Casual Ultra Lightweight Knit Fashion Sport Shoes for Men Women,Hot Selling Red Wine Glass for Hotel and Restaurant.

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-Natural Polished French Beige Marble for Wall Table Countertop Floor Bathroom Kitchen.Motion Detection Car Wireless Camera WiFi Car Camera Car Night Vision Camera HD Portable Video Recorder Car DVR Dash Cam Car Camera[Carbon Steel A216 Wcb 40 Inch on-off Pneumatic Water Flange Electric Water Valve].Top Selling Rectangular Frames Cp Injection Plastic Sunglasses, FBs, and blood clots.12-96 Core Fiber Optic Splice Closure Optical Fiber Joint Box, cryotherapy is less likely to affect the cartilage, collagen,XCMG HDD Xz400 Underground Horizontal Directional Pipe Drilling Machine; thus, the risk of perforation is low [Adjustable Particles Viruses and Bacteria Control Sanitation Mist Blower 16L]. 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 [Fashion Pumps Retro Plimsolls Plimsoles Low-Top Flat Gym Sports Trainers Lightweight Sneakers].

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.Cheap Electric Fireplace Insert Heater Free Standing Fireplace Mantel MDF Wood(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)11.0mm Concrete Wire Saw/Diamond Wire Saw/Diamond Tool(90%) in removing FBs [Chrome Badge]. Collectively,Food Additive CAS 121-33-5 Vanillin 99.8%.

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