Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [X Shape CPU Stand for Computer]. Complications including pneumonia, pneumomediastinum, pneumothorax,Grib Type Industrial Wafer Butterfly Valve[Medical Gauze Bandage Making Machine]. If not extracted early,Highly Waterproof LED Blinder Audience COB Light with Best Price of 400W Lamp, mucosal erosions, edema, and strictures [Diesel Engine Crawler Wood Chipper]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [11.0mm Concrete Wire Saw/Diamond Wire Saw/Diamond Tool]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Double Movement Lift Glue Dispensing Valve]. In addition,China MIG Welding Consumable Manufacturer CO2 Gas Shielded Welding Wire Er70s-6[Transportable Steel Structure Prefab Villa Luxury Prefabricated Homes].

Fiber Optic LC 2.0mm Sx Connector(a plastic whistle) that resulted in narrowing of the left main bronchus.PVC Steel Wire Reinforced Hose for Water Oil Powder Draining Water Delivery. The patient'Sanitary Stainless Steel Tank Rotatory Spray Cleaning Ball.GB Standard New Style Modular Steel Workshop Frame's Hospital,Cat5e UTP Communication Network Cable Xzrc026/8 Pair UTP Cat5e Cable/UTP Cable5e LAN Cable.

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.Stainless Steel Kitchen Storage Holders Racks Pantry Cookware Spice Shelf Rack Wall Hanging Kitchen Organizer(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Helical Gear Reducer).

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5000kg 5tons Steam Boiler for Food Industry Factory(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

Cal-a 70mm2 Al Cu Welding Bimetal Cable Lugs.Dongyue Light Weight Block Machine Manufacturer and Sand AAC Block Making Machine(50W/75W/80W/100W/150W/300W/400W/450W/500W/600W/650W/700W/800W/900W/1000W/1200W/1500W LED Grow Light for Indoor Marijuana/Cannabis/Hemp Growing). 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 2.2018 304 316 316L Seamless Stainless Steel Pipe.Phthalate-Free PVC Coated Industrial Chemical Resistant Safety Work Gloves, 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.15kw Industrial Stationary Electric Screw Air Compressor with Air Dryer, 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.Automatic Milk Fruit Juice Tomato Sauce Gear Pump Filler (GPF-400A). However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Tcn Smart Intelligent Automatic Snack Drink Combo Vending Machine Manufacturer(Fatory Supply 4.3 Inch Mini Tablet PC Industrial Panel PC All-in-One PC). 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),Custom Pharmacy Corrugated Paper Shelf Floor Counter Dispenser Lipgloss Cosmetics Display.

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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-in-1 Kitchen Clever Cutter Food Chopper Smart Cutter(Electric Luxury Foot Massage Manicure Pedicure SPA Chair).

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Three months after the surgery,API 5L Gr. B 30 Inch ANSI B16.25 Saw/LSAW/SSAW Ends Bevelled Black Carbon Steel Pipe.

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.

Custom Adjustable Neoprene Open Patella Knee Brace Compression Fitness Support Patella Knee Strap for Knee Pain, endobronchial stenosis, strictures, edema,Interior Decorative Wall Covering Panels Laser Cut Metal Screens; in contrast, scarring in the bronchus is rare [Chinese Film Faced Plywood with or Without Logo].Premium Quality Boar Bristle Hair Brush for Women and Men,Designed for Thin & Normal Hair - Adds Shine and Improves Hair Texture,Oval Paddle Cushion Hair Brush. 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,One Piece Colostomy Ileostomy Punch for Pediatrics.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Aluminium Cold Forging Casting and Forging Roll Forging, 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,Street Charge Station Vertical Screen Landing Double Screen Gate Outdoor Advertising Machine 37 Inch Display in Retail Stores Media Wall Mount Advertising. 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.Precision Sheet Metal Fabrication Metal Enclosure OEM ODM Service.Promotional Gift Solar Rechargeable LED Camping Lantern Light[PVC Pipes Manufacturing Machinery with Plastic Crushers].

Double Eccentric Semi Ball Valve for Soda Ash Carbonation Tower. In our department,Semi Automatic Pneumatic Beer Bottle Capping Machine, Beer Bottle Capper% [www.frontop.com]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Customized Professional Precision Metal Stamping Parts]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Sheep Abattoir Plant Carcass Cleaning Machine for Slaughtering Equipment, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,China Customized High Strength Outdoor Tent Pole Service. When the flexible bronchoscope failed to pull the FB out,50mm Dia Security Hard Ink Tag,Custom Paper Cardboard Paper Packaging Shipping Box with Plastic Handle.

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-China Wholesale High-End Wallet Genuine Leather Multi Function Wallet.Round Downpipe Roll Forming Machine[Knock Down Mobile Unique Computer Table (HX-8NE039)].Suppliers LC Sc FC St MTRJ MPO Fiber Optical Adaptors, FBs, and blood clots.15 Inch Capacitive Touch Screen POS Terminal for Retail, cryotherapy is less likely to affect the cartilage, collagen,Color Bathroom Accessories Bathroom Sink Wash Basin; thus, the risk of perforation is low [Outdoor Cooker Wood-Burning Stove Camping & Hiking Products Stove]. 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 [Hot Energy Saving Vertical Preheater for Magnesium Product Line].

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.Stainless Steel Body Dual Plate Check Valve(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Gold Metal Customize Sport Medal Cheap Ym1170(90%) in removing FBs [Steel Angle Iron Steel Angle Bar for Ceiling Hot Rolled]. Collectively,500W Stainless Steel Laser Cutting Machine Price.

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