Metal Hypersensitivity after Nuss Procedure: What and When to do?

Abstract

Metal hypersensitivity after Nuss procedure is a known complication, but there is no accepted treatment guideline available. Patients undergoing Nuss procedure between 2013 and 2023 were examined retrospectively. Patients with known allergy, positive blood, and/or culture tests, and redo cases were excluded. Nine of 307 (2.9%) patients developed postoperative allergy. No significant difference was found between single or double bar patients. All were treated with medical protocol. No premature bar removal was necessitated. Medical treatment was successful in postoperative metal allergy after Nuss procedure. Ruling out other causes like surgical technical problems or infections is necessary for correct diagnosis and accurate treatment.

Keywords

chest wall - surgery - complications - wound healing - pectus excavatum - carinatum - minimally invasive surgery

Publikationsverlauf

Eingereicht: 15. Dezember 2024

Angenommen: 06. März 2025

Accepted Manuscript online:
07. März 2025

Artikel online veröffentlicht:
27. März 2025

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