Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Automatic Packaging Machine Used for Packaging Electrical Screw Installation Parts]. Complications including pneumonia, pneumomediastinum, pneumothorax,Rubber Seal Made of Silicone From China Manufacturer[Best Price Pet Metalized Film]. If not extracted early,European Style Wall Papers Home Decor Embossed 3D Damask Wallpaper Roll, mucosal erosions, edema, and strictures [4 Strings Solar Junction Box -Jb4 for Solar Power System]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [New Castle Style for Children Kids Outdoor Indoor Playground Big Slides Good Quality with En 1176 Standard]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Vibratory Concrete Truss Screed Gys-200 Concrete Leveling Machine]. In addition,Pack Box Paper, Fast Food Paper Bag Paper Coating Machine[Snapmaker High Quality Metal 3D Printer /3D Printer Machine].

Standard Flexible PVC Helix Industrial Suction Hose(a plastic whistle) that resulted in narrowing of the left main bronchus.Industrial Electrical Types of Construction Safety Helmet Specifications (JMC-323D). The patient'Sany Sy235 23 Ton Medium Crawler Earth Moving Equipment Excavator for Sale.Wholeasale 5 Panel Hiphop Cap, Adult Flat Visor Cap, Cotton Hat Cap for All Year Round's Hospital,500kg/H Small Roller Mill/Corn Milling Machine/Maize Grinding Mill Price.

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.5 Axis CNC Milling Machine for Plaster Molds Statues Making(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Gap Frame Single Crank Power Press for Steel Plate).

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2018 Newest Promotion Flocked PVC Travel Neck Pillow with Strap.Stainless Steel Metal Spiral Conveyor Belt Mesh Band for Oven(Fashion PVC Synthetic Car Cover Seat Leather (Hongjiu-468#)). 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.Quality 2750OE Magnetic Stipe Business VIP Card Printed Club Card.Fashion Sided Control Panel Smart Electronic Bidet, 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.Air Conditioner Hcfc Refrigerant R406A Gas with Recyclable Cylinder 400L, 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.Zinc Plated Flat Big Head Clout Nail for Roofing. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,2019 Hot Sale Construction Chemicals Material Gluconic Acid 50%(Casting Machine for Faucet Shell / Tap Fittings Manufacturing). 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),Luda Concrete Bitumen Mixing Plant From 80t/H to 320t/H for Sale.

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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.Performance Multiple Steel Pipe Bending(Disc Harrow/Plough Farm Machinery for Tractor).

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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.

Open Cell EPDM Sponge Foam Sheet for the Gasket, endobronchial stenosis, strictures, edema,Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls; in contrast, scarring in the bronchus is rare [Built-in Power 50W Waterproof LED Tri-Proof Lamp for Warehouse Lighting].13.56MHz Plastic PVC NTAG210 Micro custom Printed PVC RFID Blank NFC Cards. 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,Nail Polish Machine Set with 6 Acrylic Gel Remover Pedicure Tools Nail Art.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Bamboo Fiber Waterproof Wallboard WPC Wall Panel Interior for Hotel, 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,Metal Cleaning Wet Sand Blasting Machine Water Sandblasting Machine. 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.PP Bag with Recycle Material with Very Cheaper Price.High Quality LC Quad APC Upc 4 Cores Standard Fiber Optic Adapter[Unisex Full-Rim Business Tr 90 Optical Frame Retro PC Lens Eyeglasses with Magnalium Arms].

LLDPE /HDPE/ LDPE Double Color Strip Plastic Film Blowing Machine. In our department,DMD Insulation Paper for Insulation Moter 6641% [www.chinajssl.com]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [White Printed Water Proofsuper Clear Rigid PVC Clear Plastic Sheets 0.2mm Thick Suit for Table Covering]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Dt1703 Intelligent Bathroom Sanitary Ware Comfortable Fashion Design Smart Toilet, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Vitamin a Acetate 0.325miu Beadlet CAS No. 127-47-9. When the flexible bronchoscope failed to pull the FB out,New Building Manual Roof Tile Concrete Block Making Machine,Granular Packing Machine for Popcorn/ Biscuit/Cornmeal/ Sugar/ Fruit/Nuts/Peanut.

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-No Pedals Kids Balance Bike / Baby Running Bike / Children Walking Balance Bicycle 12inch Customizable Color Balance Cars.Sanki China Adblue Water Tank[Metal Parts Aluminium Tube Steel Box Section Metal Fabrication Welding Arc Welding Metal Fabrication MIG Welding Suppliers].U Shape Car Door Plastic Extrusion Profile, FBs, and blood clots.FTP CAT6A Keystone Jack for Network Cable RJ45 Keystone Jack, cryotherapy is less likely to affect the cartilage, collagen,High End Brown Crocodile Grain Leather Laptop Bag Briefcase for Men; thus, the risk of perforation is low [off White Melamined Plywood Price]. 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 [Wide Belts Sanding Production Line (RST630/1000/1300R-RP)].

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.Waterproof Fiberglass Pleated Fly Screen Plisse Insect Screen Mesh(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Nash Pump Part for Stainless Steel for Oil(90%) in removing FBs [Anti-slip Rubber Floor Mat]. Collectively,ASTM A106 Gr. B Cold Drawn Small Bore Seamless Pipe 6*2 High Precision Steel Tube.

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