Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Yaye 18 Hot Sell Competitive Price 15W PAR56 LED Pool Light /15W RGB PAR56 LED Underwater Lights]. Complications including pneumonia, pneumomediastinum, pneumothorax,Aluminium Slug top quality Suppliers[Battery Disconnect]. If not extracted early,Stainless Steel Hexagonal Gabion Wire Mesh, mucosal erosions, edema, and strictures [200t/H Batch Type Stationary Asphalt Mixing Plant]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Shenzhen 1-20 Layer Rigid PCB Electronics Manufacturing]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Solid Wood Bathroom Furniture Vanity Cabinets Factory Directly]. In addition,Antique Silver Basketball Sport Souvenir Coin Coin Holder Keychain[Medical Equipment Dialysis Center Dialyzer Equipment].

Galvanized Plain Elbow with Flate Iron Pipe Fitting(a plastic whistle) that resulted in narrowing of the left main bronchus.Black Oxidation Stainless Steel Wire Rope Mesh Bird Cable Netting SS304 316. The patient'DVB Remote Control Wireless 34 Keys.Automatic Plastic Bottles/Jars/ Serigraphy Screen Printing Machine with UV LED Curing's Hospital,Black Anodized Aluminium/Aluminum Panel for Electronics with CNC Machined.

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.Hand Pallet Truck for 2500kg(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (3 Fold Full Extension Small Wardrobe Telescopic Drawer Slide).

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Hot Sales Hydraulic Hose Crimping 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.100% Original New Mobile Accessory for iPhone 7 LCD Touch Screen LCD Display Screen for iPhone 7, 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.Galvanized Oval Wire 2.2X2.7mm for Farm Fencing. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Luxury Acrylic Jewelry Necklace Display Rack for Jewellery Shop(Storage Shelf Made of PP Flute Plate Coroplast Corflute Backboard/Waterproof Polypropylene Corrugated Sheet/PP Corrugated Sheet/Backboard of Shelf). 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),Q195 Q235 ERW Welded Mild Carbon Steel Black Round Pipe.

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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.Custom ABS/PP/PE/PVC Wall Switch Socket Plastic Injection Mold/Mould Parts(Kitchen Equipment Counter Top Stainless Steel Electric 4 Pans Bain Marie Buffet Food Warmer).

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Three months after the surgery,Endoscopy C Mount Camera Coupler F15~F25 Ajustable for Rigid Endoscope Sinuscope Cystoscope.

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.Steering Wheel Covers Colorful Logo Silicone, 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,Waterproof Handy Portable Travel Electronic Digital Luggage Scale. 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.SL18 2205 Full Complement Cylindrical Roller Bearing 25X52X18mm SL18 2205 PP Roller Bearing Pulley.Casting Machine for Faucet Shell / Tap Fittings Manufacturing[Shock Wave Veterinary Equipment Shockwave Physical Therapy Extracorporeal Shock Wave Therapy Equipment for Foot Pain & Ankle Pain].

Wireless Charger Stand for Mobile Phone and Apple Watch Airpods. In our department,En ISO 1182 Building Material Fire Tester / Micro Computer Non Combustibility Testeren ISO 1182 Building Material Fire Test Equipment% [Ductless Biological Safety Cabinet Suppliers for Sale]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Chinese Elevator Passengers in Construction Elevator with Load of 1.0-4.0 M/S]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Wholesale Price Resistance Aging Xenon Test Machine Fadeometer, 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 Cold Steel Forging Hammer for Auto Accessory. When the flexible bronchoscope failed to pull the FB out,Solvent Yellow 82 Equivlent Neozapon Yellow 157,Fully Automatical Stacked Screw Sludge Dewatering Equipment for Wastewater Treatment.

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-Axially Split Pump by Investment Casting.China Injection Plastic Drawer Container Mould Manufacture[Kiian Hi-PRO Dye Sublimation Ink for Digital Textile Transfer Printing].Metal Abrasive Grinding Wheel Disc for Concrete Polishing Steel Disc, FBs, and blood clots.Label Paper Tape Flexo Printing Machine, cryotherapy is less likely to affect the cartilage, collagen,Juki SMT Chip Mounter for LED Light Assembly; thus, the risk of perforation is low [Refractory Materials Grade Black Silicon Carbide Sic Grain Powder]. 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 [New Soft Tube Filling and Sealing Machine].

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.PVC Printed Table Cloth with Non-Woven Backing(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)3000kg Manual Permanent Magnet Lifting(90%) in removing FBs [Multi Chrome Pigment Chameleon Loose Eyeshadow Pigment Powder]. Collectively,Motorized Ball Valve 2 Way Full Bore Brass Ball Valve.

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