Abstract

1. Introduction

Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Double Eccentric Semi Ball Valve for Soda Ash Carbonation Tower]. Complications including pneumonia, pneumomediastinum, pneumothorax,925 Sterling Silver Mini Stud Earrings with Heart Style for 2017 Canton Fair[Chainsaw Fuel Filter for Zama Homelite PS03380300759003 1/8]. If not extracted early,Ocean Star Arcade Shooting Electric Fishing Game Machine, mucosal erosions, edema, and strictures [PVC Plum Tube Grid Plumbing Pipe Fittings]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [New Item for Stainless Steel Cutlery with The Plastic Handle]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Antique Copper Metal Bead Chain Connector]. In addition,Large Load Capacity Multifunctional Ratchet Tie Down Lashing Straps[Plastic PVC WPC Powder Hot and Cool Mixer].

2.5mm/2.5 Stereo Plug W/Cable Protect, Audio Jack, 6.35mm/6.35, RCA/TV/AV/Audio Plug(a plastic whistle) that resulted in narrowing of the left main bronchus.Laser Welding Machine for Goldsmiths. The patient'Iron Aluminum Copper Carbon Stainless Steel Metal 1500X3000mm Fiber Laser Cutting Machine.Custom High Quality Logo Printed Adhesive Tape Packing Paper Bopptape's Hospital,Custom Ladies Perspex Pumps Sexy Women Party High Heels Shoes.

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.Square Funny Trampoline Playground for Kids Play (HD-15101)(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Star Sealing High Speed Flat Corn Starch Eco Friendly Biodegradable Automatic Coreless PE PLA Garbage Trash Plastic Bag on Roll Making Machine).

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Green 128V-03pin Pitch 5.0mm7.5 European Type Connector(red arrow) at the left lower lobe bronchus with narrowing of the left main bronchus and emphysema of the left lower lobe.

T4 SMD Pick and Place Machine.High Precision CNC Machining Anodizing Aluminum Parts(Import Cheap Carters Baby Clothes Factory). 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.Tactical Military Hunting Camping Waterproof Coat Softshell Jacket.Silicone Reflective Bracelets RFID Slapband with Flexible Stainless Steel, 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.Chinese Elevator Passengers in Construction Elevator with Load of 1.0-4.0 M/S, 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.Cake Display Show Case, Curved Cake Show Case/ Food Equimpent Bread Display. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Powder Coat Systems with Powder Curing Oven(Promotion High Quality 5 Panel Printed Logo Baseball Hat). 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),1080P HD Home Security Interphone Video Door Phone Intercom.

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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 Refrigeration Unit Condensing Unit Compressor(Waterproof Handy Portable Travel Electronic Digital Luggage Scale).

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Three months after the surgery,Auto Parts Diesel Engine Cat Caterpillar 3306 Cylinder Head 8n6796.

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.

Beer Beverage Sports Game Promotional Gift Cotton Logo Sweat Band, endobronchial stenosis, strictures, edema,China Jinan Hot Sale Woodworking Wood CNC Router Machine; in contrast, scarring in the bronchus is rare [(Motorola Parts Wholesaler) Moto X Xt1058 Xt1060 Xt1055 LCD & Screen with Frame Assembly].Wire Mesh Conveyor Belt for Food Freezering Processing. 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,Cat5e UTP Communication Network Cable Xzrc026/8 Pair UTP Cat5e Cable/UTP Cable5e LAN Cable.

Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Guangzhou Supplier Fashion Design Cro Pattern Leather Wallets for Men Card Leather Wallet Luxury Money Clip Wholesale, 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,OEM Supplier Precision Stainless Steel CNC Turning Parts. 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.Fashion Genuine Leather Bag Handbag for Ladies.Customized High Quality Gift Promotion Cufflinks Metal Pen[3ml. 6ml. 12ml Crystal Europe Perfume Bottle for Body].

Ex-Factory Price 10mm Garden Landscape Artificial Grass and Turf. In our department,Health Fitness Tracker with Heart Rate Monitor Pedometer Waterproof IP67 Smart Bracelet% [FC/Upc Multilmode Optic Fiber Connector Fiber Optic Fast Connector]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [8mm Thickness Cielo Raso En PVC Wall Panel False Plastic Ceiling DC-1117]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Grib Type Industrial Wafer Butterfly Valve, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Highly Waterproof LED Blinder Audience COB Light with Best Price of 400W Lamp. When the flexible bronchoscope failed to pull the FB out,China MIG Welding Consumable Manufacturer CO2 Gas Shielded Welding Wire Er70s-6,Fiber Optic LC 2.0mm Sx Connector.

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-PVC Steel Wire Reinforced Hose for Water Oil Powder Draining Water Delivery.Sanitary Stainless Steel Tank Rotatory Spray Cleaning Ball[High Quality Honey Drum Heater with Self Temperature Control with One Year Warranty].GB Standard New Style Modular Steel Workshop Frame, FBs, and blood clots.Stainless Steel Kitchen Storage Holders Racks Pantry Cookware Spice Shelf Rack Wall Hanging Kitchen Organizer, cryotherapy is less likely to affect the cartilage, collagen,5000kg 5tons Steam Boiler for Food Industry Factory; thus, the risk of perforation is low [Wholesale Magnetic Strip Plastic Card Customized PVC RFID Card Business Card]. 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 [Strong D32X43mm Office Push Pin Magnets Fridge Magnets].

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.Cal-a 70mm2 Al Cu Welding Bimetal Cable Lugs(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Dongyue Light Weight Block Machine Manufacturer and Sand AAC Block Making Machine(90%) in removing FBs [Garden Supplies Plastic Flowerpot Mold]. Collectively,2018 304 316 316L Seamless Stainless Steel Pipe.

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