Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [12mm Steel Coil Staighten and Cut to Length Line]. Complications including pneumonia, pneumomediastinum, pneumothorax,1m 5V 5A USB Fast Charge Cable Type C Charge Cable[R404A Refrigerant Solid Double Door Reach-in Blast Chiller Storage Freezer]. If not extracted early,40W Outdoor Cool White Lighting Rotatable Solar Cell Street Light, mucosal erosions, edema, and strictures [High Quality Leakage Residual Current Circuit Breaker]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Automatic Carton Box Gluer Machine Jhx-2800]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [220V/110V AC-Powered CH4 Methane Gas Alarm for Home Security (GD)]. In addition,High Efficiency Widely Usage Feed Pellet Machine for Dairy Farm[Dental Sintering Furnace Price].

Drawing Die of Wheelbarrow Trolley(a plastic whistle) that resulted in narrowing of the left main bronchus.9W LED T8 Tube Light IP20 0.6m 2FT for Indoors. The patient'3 Axles Flat Bed Semi-Trailer for 40FT Container.Rubber Seal Made of Silicone From China Manufacturer's Hospital,High Resistance Sodium Methyl Siliconate Agent/Sealer for Waterproofing Wood / Marble / Stones.

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.European Style Wall Papers Home Decor Embossed 3D Damask Wallpaper Roll(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Neodymium Speaker).

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Pack Box Paper, Fast Food Paper Bag Paper Coating Machine(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries, 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.2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven(Guangzhou Cheap Durable Megabond Aluminum Composite Panel Price). 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),Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card.

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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.Fashion Sided Control Panel Smart Electronic Bidet(Top Quality Wear-Resisting Submersible Vertical Industrial Coal Mining Dredge Portable Concrete Slurry Centrifugal Water Pump).

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Three months after the surgery,50W CNC Fiber Laser Marking Machine Laser Engraving Machine.

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.Performance Multiple Steel Pipe Bending, 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,Rough Top Conveyor Belt Rubber Conveyor Belts. 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.Open Cell EPDM Sponge Foam Sheet for the Gasket.Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls[Aluminum Alloy Electric Scooter for Sale Cheap].

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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-LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing Machine.DMD Insulation Paper for Insulation Moter 6641[Cu /PVC/ PVC/ Dbt/ PVC 0.6/1kv Power Cables LV Cck Cable].Dt1703 Intelligent Bathroom Sanitary Ware Comfortable Fashion Design Smart Toilet, FBs, and blood clots.Vitamin a Acetate 0.325miu Beadlet CAS No. 127-47-9, cryotherapy is less likely to affect the cartilage, collagen,New Building Manual Roof Tile Concrete Block Making Machine; thus, the risk of perforation is low [Carbon Fiber Square Tube Q345b Square Hollow Sections Galvanized Tube]. 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 [Factory Cheap Good Quality 600X600 LED Panel Light].

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.Granular Packing Machine for Popcorn/ Biscuit/Cornmeal/ Sugar/ Fruit/Nuts/Peanut(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)No Pedals Kids Balance Bike / Baby Running Bike / Children Walking Balance Bicycle 12inch Customizable Color Balance Cars(90%) in removing FBs [U Shape Energy Saving 3W 5W 7W 9W 12W E27 LED Corn Lamp Bulb]. Collectively,Sanki China Adblue Water Tank.

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