Long-term Results of Thoracoscopic T2 Sympathicotomy for Craniofacial Hyperhidrosis in Woman.
- Author:
Deog Gon CHO
1
;
Min Seop JO
;
Chan Beom PARK
;
Kyu Do CHO
;
Young Pil WANG
;
Sun Hee LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea, Korea. ebstein8@hitel.net
- Publication Type:Original Article
- Keywords:
Hyperhidrosis;
Sympathicotomy;
Thoracoscopy
- MeSH:
Axilla;
Extremities;
Female;
Follow-Up Studies;
Humans;
Hyperhidrosis*;
Medical Records;
Ribs;
Risk Factors;
Sweat;
Sweating;
Sweating, Gustatory;
Telephone;
Thoracoscopy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2004;37(7):591-596
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Recently, thoracic sympathicotomy for craniofacial hyperhidrosis (FH) is increasingly avoided contrast to palmar hyperhidrosis. We recently demonstrated that selective T2 sympathicotomy for FH in woman might be recommended because of differences of the postoperative satisfaction between man and woman. Therefore, this study was designed to analyze the postoperative long?term results, evaluate the effectiveness of T2 sympathicotomy and establish the new strategy in treatment of FH in woman. MATERIAL AND METHOD: From May 1998 to July 2001, 27 cases of FH in woman that were performed T2 sympathicotomy and minimum 2 years have passed since then at the follow up period. Among them, 20 cases were evaluated by telephone review and medical record. Bilateral sympathetic trunks were severed on the 2nd rib with 2mm thoracoscopic instruments. 7 patients combined with gustatory sweating (GS). Ages ranged from 25 to 62 (mean age, 46.4 years). RESULT: All patients were relieved of symptom immediately after operation. At postoperative 1 week, all patients were satisfied: 15 patients, "very satisfaction" and 5 patients, "relatively satisfaction". However, during long?term follow?up period (from 25 to 63 months postoperatively), 9 patients (45%) were relatively satisfied, 8 patients (40%) complained that there was no difference of postoperative satisfaction and 3 patients (15%) complained of non?satisfactory results (regret for surgery). 16 patients (80%) had complaint of uncomfortable feeling because of postoperative GS. Some degree of compensatory sweating (CS) had occurred in all patients: severe 10 patients (50%), severe but acceptable 6 patients (30%), and just conventional 4 patients (20%). The sites of CS were trunk, back, axilla and extremities. CONCLUSION: Thoracoscopic T2 sympathicotomy is relatively considerable method for FH in woman and the postoperative satisfaction depends on GS and the degree of individual adaptation for CS. Therefore, it is required that the prediction of preoperative risk factors for GS and CS and then careful selection of patients to increase the postoperative satisfaction, and the development of acceptable new treatment modalities.
