We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Utility of routine patch testing prior to surgical repair of pectus excavatum: A multidisciplinary experience via retrospective review at a single tertiary care center.
- Authors
Leonard, Nicholas; Droms, Rebecca; Lal, Karan; Wiss, Karen; Aidlen, Jeremy T.; Silvestri, Dianne; Belazarian, Leah
- 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.
- Subjects
PECTUS excavatum; TERTIARY care; RETROSPECTIVE studies; ACQUISITION of data; TITANIUM
- Publication
Pediatric Dermatology, 2021, Vol 38, Issue 6, p1510
- ISSN
0736-8046
- Publication type
Article
- DOI
10.1111/pde.14826