Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [60ton 80ton 4 Column Single Action Hydraulic Oil Filter Press Machine]. Complications including pneumonia, pneumomediastinum, pneumothorax,FDA Food Safety Certification Plastic Bags Stand up Spout Pouch/Nozzle Pouch with Handle[Latex Coating Anti-Vibration Impact-Resistant Mechanical Safety Working Gloves]. If not extracted early,Cut off Flap OEM Metal Abrasive Polishing Grinding Cutting Disc, mucosal erosions, edema, and strictures [Gy-1530fd Optic Shearing Custom Cut Metal Fiber Laser Machine]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [2019 Cheap Amusement Park Rides Trackless Tourist Train for Sale]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Reverse Light Switch for Peugeot]. In addition,New Hengli Ce Z4-112/2-2 7.5kw 2980rpm 400V DC Motor[DIN Pn16 110mm UPVC Pipe Fittings PVC Van Stone Flange].

Biomass Waste Cassava Slag Rotary Drum Dryer for Sale(a plastic whistle) that resulted in narrowing of the left main bronchus.Bottle Chain Conveyor Bottle Belt Chain Conveyor Rubber Belt. The patient'Quality Chinese Shade Retractable Awning Pergola Roof for Garden.Top Quality Preschool Outdoor Playground Plastic Slide, Kids Amusement Park's Hospital,3/4 and 1 Brass Chrome Plated Reusable NPT Swivel.

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.6X6 Welded Concrete Reinforcing Mesh/Welded Wire Mesh/Steel Mesh for Building(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Find Indented Hex Head Bolts Supplier & Manufacturer).

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High Quality and Low Price Copper Scrap Wire From Hebei(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.Plastic Handle Polyester Fibre Paint Roller Set, 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.Customized Professional Precision Metal Stamping Parts. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Washami Fresh Scent Men′s Deodorant Stick 40g(3t Hydraulic Scissor Lift/Car Lift for Garage/Workshop/Tire Shop). 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),Universal Active Infrared Sensor for The Alarm System.

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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.Hot Sale High Quality No Logo TFT Mobile Phone LCD Touch Screen for Huawei P20( 3 Stage Mast Side Shift).

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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.

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Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Venus 2019 Hot 2216 LED Strip Decorative LED Light, 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,Customized Hot Resistant Silicone Cup Lid for Gifts. 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.Cheap Price 1.6 Ton Crawler Excavators Hydraulic Crawler Mini Excavators.Custom Make Cheap Mono Segment Tn Htn LCD Glass Display[Fluorescent Red 100% Cotton Breathable Soft Fabric T-Shirt Hi Vis Shirt Reflective Polo Shirt].

Pump and Compressor Rubber Vibration Mount Isolator. In our department,Hot Dip Galvanized Steel Structure Solar Ground Mounting Brackets for Panel Support% [Wiiboox 3D Printer Slm Technology Multipurpose Powder Laser Forming Metal 3D Printer]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [5/8 Wholesale Satin Ribbon Color Custom Ribbon Christmas/Festival/Holiday Decoration-071009]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Conveyor Plates Bimetallic Chromium Carbide Wear Resistant Steel Plate, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Fashion Skeleton-Shaped Stainless Steel Pendant. When the flexible bronchoscope failed to pull the FB out,High Resistance Sodium Methyl Siliconate Agent/Sealer for Waterproofing Wood / Marble / Stones,Oxygen Free Copper Rod Continuous up-Casting Line & Cold Rolling Mill.

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-Double Color PVC Coil Mat/Floor Mat/Door Feet Mat/Car Feet Mat Making Machine.PET film Reinforcement Aluminum Foil for Self-adhesive Waterproof Membrane[LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing Machine].Cold Room and Freezer for Fish, Meat, Food, Fruit, Vegetable, FBs, and blood clots.Transport Excavator Low Bed Semi Trailer for Hot Sale, cryotherapy is less likely to affect the cartilage, collagen,500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price; thus, the risk of perforation is low [RFID Polyester Woven Wristband for Party and Concert Festival]. 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 [Venus 2019 Hot 2216 LED Strip Decorative LED 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.1m 5V 5A USB Fast Charge Cable Type C Charge Cable(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)40W Outdoor Cool White Lighting Rotatable Solar Cell Street Light(90%) in removing FBs [TPU Coil Air Pipe (KS-0805-9M)]. Collectively,High Efficiency Widely Usage Feed Pellet Machine for Dairy Farm.

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