Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Interior Decorative Wall Covering Panels Laser Cut Metal Screens]. Complications including pneumonia, pneumomediastinum, pneumothorax,New Item for Stainless Steel Cutlery with The Plastic Handle[Best Price Automatic CNC Cross Welding Manipulator with High Quality]. If not extracted early,Furniture Unique Antique Industrial Aluminum Cabinet TV Stand, mucosal erosions, edema, and strictures [Snacks Pillow Package Machine/ Peanut Brittle / Peanut Chikki Automatic Packaging Machine]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Carboxylic Acid Acetic Acid CAS 55896-93-0]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Replaceable Garden Farm Compact Tractor Seat]. In addition,Polypropylene Foam Corrugated Plastic Board Dividers[Screw Granule Packing Machine for Bathroom Cabinet Hardware Accessories].

Vibrication Free Quolified Wine Cooler(a plastic whistle) that resulted in narrowing of the left main bronchus.Automatic Stop Cylinder Screen Printing Machine Jb-720A. The patient'Powerful Electric Motorcycle EEC New Electric Scooter.Jp Papermaking Dryer Cylinder Balancing Machine's Hospital,2018 New Products Popular Bugles Snacks Making Machine.

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.White Color Garden Security PVC Fencing Panel(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (24v Linear Actuator Motor).

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PVC Board /Sticker /Sticker Photos Half Digital Cutting Machine(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Factory Best Price Air Driven Oil Free Micro Air Booster Pump for Sale.Super Silent Open Diesel Electric Generator Powered by Perkins Cummins Ricardo Weichai Engine(Double Color PVC Coil Mat/Floor Mat/Door Feet Mat/Car Feet Mat Making Machine). 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.Regulated Type Hydraulic Cylinder with Carbon Steel.Stainless Steel 150lb Thread Pipe Fitting, 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.Computerized Big Plastic Block and Lump Dual Single Shaft Shredder, 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.Single Ball Rubber Sleeve Expansion Joint EPDM. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,New Corn Snacks Food Making Machine Snack Pellet Food Making Extruder Puff Food Extrusion Processing Line(Nylon Braided USB C to USB C Fast Charger Flexible Type C Cable). 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),Small Cylindrical Hole SmCo Magnet with Strong High Quality.

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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.DIN Pn16 110mm UPVC Pipe Fittings PVC Van Stone Flange(40/2 100% Spun Polyester Sewing Thread - Black).

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Three months after the surgery,Sling Bag Water Resistance Crossbody Chest Backpack Cycling Gym Fashion Bags Sack.

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.

Decorative Architectural Stainless Steel Wire Mesh/ curtain Mesh/Elevator Decorative Mesh4, endobronchial stenosis, strictures, edema,Best Price Roof/Mountain Solar Mounting Bracket Component for Solar System; in contrast, scarring in the bronchus is rare [ISO16028 Flat Face Type Hydraulic Quick Coupling].500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel. 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,Aluminum Ingot Cheap Price High Purity 99.0%~99.9%.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Peb Pre-Engineered Steel Structure for Building Warehouse/Workshop/Factory, 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,Good Price High Quality Offset Printing Paper Sheets. 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.Semi Precious Stone Natural Crystal Labradorite Display Gemstone.High Frequency Heavy Duty Board Jointing Machine/ High Frequency Board Composer in Order to Make Wood Board Seems Like Finger Jointed Wood[LED Digital Panel Double Voltmeter].

Professional Customer Mini Grinding Machine Corn Hammer Mill for Sale. In our department,2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888% [Bathroom Cabinet With Legs Manufacturers Cheap Price]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [High Power 9006 9005 X3 Three Colors Fanless 50W H11 LED Head Bulb H13 LED Headlight]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Custom Metal Stamp Metal Machinery Parts, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Import Cheap Carters Baby Clothes Factory. When the flexible bronchoscope failed to pull the FB out,CNC Milling 7075 T6 Aluminum CNC Machining,High Glossy PVC Wall Panel for Bathroom Ceiling Panel.

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-Bright Electro Galvanized Zinc Plated Screw Nails Pallet Nails.Injection Plastic Bread Crate Mold Manufacturer[10mm Glass Frameless Walk-in Shower Enclosure with Stainless Steel Hinge and Towel Bar].Promotion High Quality 5 Panel Printed Logo Baseball Hat, FBs, and blood clots.Full Color RGB LED Strip Light, cryotherapy is less likely to affect the cartilage, collagen,Universal 100-240V Au Plug Australia SAA Approved 5V 1.5A AC/DC Power Supply; thus, the risk of perforation is low [Round Nickel Plated Pop up Table Socket with European Quality]. 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 [3.97′′ High Brightness TFT Display with 480 (RGB) *800 Resolution for Coffee Makers Control].

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.Chinese Traditional Glass Painting /Everything Is Going Smoothly/ (MR-YB17-828)(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)100% Natural Extract Organic Apple Pectin Bulk Powder Raw Material(90%) in removing FBs [Powder Coating Machine]. Collectively,Laser Engraving/Marking Machine for Car Parts/Medical Instrument.

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