학술논문
Utility of routine patch testing prior to surgical repair of pectus excavatum: A multidisciplinary experience via retrospective review at a single tertiary care center.
Document Type
Article
Author
Source
Subject
*PECTUS excavatum
*TERTIARY care
*RETROSPECTIVE studies
*ACQUISITION of data
*TITANIUM
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*
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Language
ISSN
0736-8046
Abstract
Background: The Nuss procedure is the only implant procedure in which routine, rather than selective, preoperative patch testing is recommended. This practice has recently been called into question. Objective: To evaluate an updated experience of pre‐implant patch testing in patients undergoing the Nuss procedure. Methods: A retrospective chart review of Nuss procedures from 2012 through 2020. Results: Forty‐five patients were identified for data collection. From 2012 to 2014, none of the 14 patients were patch tested. From 2015 to 2020, 26 of 31 (83.9%) were patch tested. Of those tested, only 2 had a positive patch test. A hypoallergenic titanium bar was inserted in each case. In total, there were zero bar reactions. Conclusion: The risks of patch testing are extremely small and should be weighed against the serious implications of even one bar allergy when deciding on future guidelines. [ABSTRACT FROM AUTHOR]