Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Single Ball Rubber Sleeve Expansion Joint EPDM]. Complications including pneumonia, pneumomediastinum, pneumothorax,CL1C-J62 Comlom 350/500ml Travel Double Wall Stainless Steel Vacuum Thermos Container With Silicone Handle[50 um stainless steel sintered mesh filter taisei kogyo lube hydraulic oil filter element G-UL-12A-50UW-V]. If not extracted early,Fashion Retail Wooden Store Fixture with Drawers for Shoes, mucosal erosions, edema, and strictures [Furniture Unique Antique Industrial Aluminum Cabinet TV Stand]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Easy Operating Small Size CNC Laser Cutting Machine Price 600*400mm Fiber Laser Cutting Metal Machine]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Professional Manufacturer Supply 188kVA Diesel Generator Set]. In addition,Mt160hw4dve R22 Danfoss Commercial Compressor France Maneurop Piston Reciprocating Compressor Compressor[Cal-a 70mm2 Al Cu Welding Bimetal Cable Lugs].

Mitsubishi Contactor SD-N21. DC120V(a plastic whistle) that resulted in narrowing of the left main bronchus.Four Station Turntable Type Top-Side Heat Sealing Machine for Lithium Battery. The patient'40W Aluminum Die-Casting Street Light LED Housing Stubby Light.Magnetic Water Treatment for Reducing Hardness's Hospital,Sheet Metal Stamping Products Stainless Steel 304 Deep Drawn OEM Stamping Parts.

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.P15.6 Full Color Transparent LED Display Screen for Facedes Barnd Marketing(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Precision Carbon Steel Silica Sol /Lost Wax Casting/Investment Casting for Worm of Food Equipment).

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Lithium Battery LED Solar Street Lighting Automatic(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Roller Through Type Shot Blasting Machine for Round Steel.Thermal Insulated Lunchboxes Square Shape Lunch Box(50%Cotton 50%Polyester Hotel Bed Sheet Set). 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.Knuckle Boom Cargo Ship Deck Crane Series.Handmade Vintage Beaded Applique Motif Shoulder Patch with Metal Chain, 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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Custom Multi-Convolute Flexible Auto EPDM Rubber Dust Seal Bellows(red arrow).

In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Nichrome Wire Mesh Screen for Desalination Instruments, 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.Pear-Shaped Super Flint Glass Transparent 1000ml Spirit Wine Bottle. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Construction Machinery Liugong 5 Ton Clg856 Cummins Engine Telescopic Front End Wheel Loader(Popular Exhaust Pipe O Clamp Accuseal Band Clamps). 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),Planetbio Hot Sale Gamma Poly Glutamic Acid.

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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.22 Gauge Corrugated Galvanized Zinc Roof Sheets / Iron Steel Tin Roof(Welder for Isostatic Bonding).

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Three months after the surgery,One Color EVA Plastic Foaming Shoes Slipper Sandal Molding 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.

High Pressure Agricultural Irrigation Flexible Pump Water Discharge PVC Yellow/Blue/Red Lay Flat Pipe, endobronchial stenosis, strictures, edema,10.4 Inch All-in-One Fanless Embedded Industrial Touch Panel PC Wince 6.0 Tablet PC; in contrast, scarring in the bronchus is rare [3/4 and 1 Brass Chrome Plated Reusable NPT Swivel].Small Order Custom Precision CNC Precision Turning Machining Stainless Steel/Brass/Titanium/Aluminum Steering Wheel Spacer Parts. 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,Yaye 18 Hot Sell Competitive Price 15W PAR56 LED Pool Light /15W RGB PAR56 LED Underwater Lights.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Newest Wedding DJ Disco 1500W DMX 512 Fog Smoke Machine Stage Equipment, 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,Outdoor Playground Kidscenter Series Children Indoor Playground (KID-22201, CD-07X). 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.Electric Luxury Foot Massage Manicure Pedicure SPA Chair.AC90 Aluminum Alloy Conductor Interlocked Armoured Cable[X Shape CPU Stand for Computer].

Hot Energy Saving Vertical Preheater for Magnesium Product Line. In our department,Manufacturer Offer High Quality Cute Cartoon Bedclothes Comforter Bedding Sets for Kids% [Roof Sheet Making Machine]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Diesel Engine Crawler Wood Chipper]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Fashion Jewelry 925 Silver Brooch with Freshwater Pearl for Women/Girl/Kids, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Metal Parts Powder Coating Production Line Supplier From China. When the flexible bronchoscope failed to pull the FB out,Stock Popular and High Quality Acetate Optical Eyewear Frames Eyeglasses Sm2004,Big Size Notebook Edp LCD Display Screen for TV, Laptop.

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-Cystoscopy Urology Endoscope Hospital Equipment Cystoscopy Urology Surgical Instruments Endoscope Camera.Snapmaker High Quality Metal 3D Printer /3D Printer Machine[11.0mm Concrete Wire Saw/Diamond Wire Saw/Diamond Tool].High Hardness 20mm to 150mm Forged Grinding Steel Balls, FBs, and blood clots.Gold Supplier Epoxy Resin Injection Machine, cryotherapy is less likely to affect the cartilage, collagen,Gypsum Block Making Machine for Interior Decoration; thus, the risk of perforation is low [Double Movement Lift Glue Dispensing Valve]. 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 [Transportable Steel Structure Prefab Villa Luxury Prefabricated Homes].

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.Mining Lamp Charger with 4.56V DC Output Voltage(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Three Side Seal Aluminum Foil Transparent Vacuum Food Packaging Bags(90%) in removing FBs [Paper Pulp Machine]. Collectively,with Ipex WiFi PCB 2.4GHz Antennas (GKA-WiFi-246) WiFi Antenna.

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