The Nuss procedure has become the predominant reason for the use of metal implants by pediatric general and thoracic surgeons. Current guidelines recommend preimplant testing for all patients undergoing the Nuss procedure, which differs from the guidelines for all other orthopedic procedures. This review was done to further evaluate this discrepancy.
Get full access to this article
View all access options for this article.
References
1.
ShahB, CoheeA, DeyerleA, et al.High rates of metal allergy amongst Nuss procedure patients dictate broader pre-operative testing. J Pediatr Surg, 2014; 49:451–454.
2.
NussD, KellyR, CroitoruD, et al.A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg, 1998; 33(4):545–552.
3.
SchalockP, CrawfordG, NedorostS, et al.Patch testing for evaluation of hypersensitivity to implanted metal devices: a perspective from the American Contact Dermatitis Society. Dermatitis, 2016; 27(5):241–247.
4.
RushingGD, GoretskyMJ, GustinT, et al.When it is not an infection: metal allergy after the Nuss procedure for repair of pectus excavatum. J Pediatr Surg, 2007; 42(1):93–97.
5.
MilingouM, TagkaA, ArmenakaM, et al.Patch tests in children: a review of 13 years of experience in comparison with previous data. Pediatr Dermatol, 2010; 27(3):255–259.
6.
ClaytonTH, WilkinsonSM, RawcliffeC, et al.Allergic contact dermatitis in children: should pattern of dermatitis determine referral?. A retrospective study of 500 children tested between 1995 and 2004 in one U.K. centre. Br J Dermatol, 2006; 154:114–117.
7.
GawkrodgerDJ. Metal sensitivities and orthopaedic implants revisited: the potential for metal allergy with the new metal-on-metal joint prostheses. Br J Dermatol, 2003; 148:1089–1093.
8.
ElvesMRWJ, ScalesJT, KempHBS. Incidence of metal sensitivity in patients with total hip replacement. Br Med J, 1975; 4:376–378.
9.
DeutmanR, BrianR, NaterJP. Metal sensitivity before and after total hip arthroplasty. J Bone Joint Surg Am, 1977; 59:862–865.
10.
WarshawE, MaibachHI, TaylorJ, et al.North American contact dermatitis group patch test results: 2011–2012. Dermatitis, 2015; 26(1):49–59.
11.
AnejaS, TaylorJ, SoldesO, et al.Dermatitis in patients undergoing the Nuss procedure for correction of pectus excavatum. Contact Dermatitis, 2011; 65(6):317–321.
12.
HeitmillerK, FrenchA, AlaishSM, et al.Patch testing for metal allergy with manufacturer-supplied materials before Nuss bar insertion. Dermatitis, 2015; 26:271–275.
13.
SesiaS, HaeckerF, ShahB, et al.Development of metal allergy after Nuss procedure for repair of pectus excavatum despite preoperative negative skin test. J Pediatr Surg Case Rep, 2013; 1(6):152–155.
14.
SakamotoK, AndoK, NomaD. Metal allergy to titanium bars after the Nuss procedure for pectus excavatum. Ann Thorac Surg, 2014; 98(2):708–710.
15.
KiefferM. Nickel sensitivity: relationship between history and patch test reaction. Contact Dermatitis, 1979; 5(6):398–401.
SchalockPC, MenneT, JohansenJ, et al.Hypersensitivity reactions to metallic implants - diagnostic algorithm and suggested patch test series for clinical use. Contact Dermatitis, 2012; 66(1):4–19.