Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [0.5mm Thickness 304 Stainless Steel Coil with Factory Directly Price]. Complications including pneumonia, pneumomediastinum, pneumothorax,Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D)[PVC Crust Foam Board Extrusion Production Line]. If not extracted early,Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale, mucosal erosions, edema, and strictures [Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Factory Supply Best Quality Pem Ozone Generator for Air Space Disinfection]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Promotional Metal Fabrication Badge Pin]. In addition,Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round[Sanki China Adblue Water Tank].

5 Axis CNC Milling Machine for Plaster Molds Statues Making(a plastic whistle) that resulted in narrowing of the left main bronchus.Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries. The patient'2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap.Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven's Hospital,Drawing Die of Wheelbarrow Trolley.

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.Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (7g15g30g50g Glass Jar Makeup Containers for Skin Care Packaging).

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Fashion Sided Control Panel Smart Electronic Bidet(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

50W CNC Fiber Laser Marking Machine Laser Engraving Machine.Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L(PP Airless Cosmetic Bottles Packaging Set for Luxury Skin Care Product). 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.Zinc Plated Flat Big Head Clout Nail for Roofing.2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%, 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.Performance Multiple Steel Pipe Bending, 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.Rough Top Conveyor Belt Rubber Conveyor Belts. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Open Cell EPDM Sponge Foam Sheet for the Gasket(Automobiles). 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),Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls.

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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.13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards(Wholesale Cosmetic Coated Paper Packaging Gift Box for Face Mask).

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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.

Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel, endobronchial stenosis, strictures, edema,Metal Cleaning Wet Sand Blasting Machine Water Sandblasting Machine; in contrast, scarring in the bronchus is rare [Steel Continuous Cold Rolling Mill (Tandem)].PP Bag with Recycle Material with Very Cheaper Price. 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,High Quality LC Quad APC Upc 4 Cores Standard Fiber Optic Adapter.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing Machine, 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,DMD Insulation Paper for Insulation Moter 6641. 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.Dt1703 Intelligent Bathroom Sanitary Ware Comfortable Fashion Design Smart Toilet.Vitamin a Acetate 0.325miu Beadlet CAS No. 127-47-9[Power Cords (YHB-1+Switch314)].

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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-High End Brown Crocodile Grain Leather Laptop Bag Briefcase for Men.Waterproof Fiberglass Pleated Fly Screen Plisse Insect Screen Mesh[Fashion Sided Control Panel Smart Electronic Bidet].Nash Pump Part for Stainless Steel for Oil, FBs, and blood clots.ASTM A106 Gr. B Cold Drawn Small Bore Seamless Pipe 6*2 High Precision Steel Tube, cryotherapy is less likely to affect the cartilage, collagen,Sublimated Youth Wrestling Singlet Lycra; thus, the risk of perforation is low [ PTFE Gasket]. 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 [Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D)].

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.Open End Spinning Machinery for Waste Cotton Yarn/ Cotton Polyester Blend Open End Cone Yarn Spinner Machine/Superfine Silk Wool Hand Knitting Yarn Spinner(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Facial Cleanser PE Plastic Material Cosmetic Soft Tube Container(90%) in removing FBs [Airtac Pneumatic Actuator Valves 4v410-15]. Collectively,Diamond Polycarbonate Embossed Solid Sheet.

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