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Titolo:
Transthoracic endoscopic sympathectomy for craniofacial hyperhidrosis: Analysis of 46 cases
Autore:
Lin, TS; Fang, HY;
Indirizzi:
Changhua Christian Hosp, Changhua City, Taiwan Changhua Christian Hosp Changhua City Taiwan osp, Changhua City, Taiwan Chung Shan Med & Dent Coll, Hung Kuang Inst Technol, Taichung, Taiwan Chung Shan Med & Dent Coll Taichung Taiwan st Technol, Taichung, Taiwan
Titolo Testata:
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES-PART A
fascicolo: 5, volume: 10, anno: 2000,
pagine: 243 - 247
SICI:
1092-6429(200010)10:5<243:TESFCH>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
THORACOSCOPIC SYMPATHECTOMY; PALMAR HYPERHIDROSIS; AXILLARY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Lin, TS 135 Nanhsiao St, Changhua City, Taiwan 135 Nanhsiao St Changhua City Taiwan St, Changhua City, Taiwan
Citazione:
T.S. Lin e H.Y. Fang, "Transthoracic endoscopic sympathectomy for craniofacial hyperhidrosis: Analysis of 46 cases", J LAP ADV A, 10(5), 2000, pp. 243-247

Abstract

Background and Purpose: Craniofacial hyperhidrosis may result in social phobia and has a strong negative impact on the quality of life. The traditional therapeutic options are psychotherapy and pharmacologic treatment, but these often fail. We wished to investigate whether transthoracic endoscopic sympathectomy (TES) of the lower part of the stellate ganglion is efficientand safe in the treatment of craniofacial hyperhidrosis. Patients and Methods: Between July 1995 and September 1999, a total of 21 men and 25 women with a mean age of 41.2 years (range 22-58 years) underwent TES for craniofacial hyperhidrosis. All patients were placed in a semisitting position under single-lumen intubated anesthesia. We ablated the lowerpart of the stellate ganglion at the second rib using a storz 8-mm 0 degrees thoracoscope via one 0.8-cm incision just below each axilla, Questionnaires were sent to all patients postoperatively,Results: Among these 46 patients, 92 sympathectomies were performed, Usually, TES was accomplished within 15 minutes (range 7-20 minutes), The surgical complications were minimal: one segmental atelectasis of the lung (2%), There was no surgical mortality, With a mean postoperative follow-up of 32.1 months (range 3-51 months), the results of TES were highly satisfactory in most patients although 37 (80%) developed compensatory sweating of the trunk and lower limbs, the distribution being the axillae in 15 (33%), back in 36 (78%), lower chest and abdomen in 22 (48%), lower limbs in 34 (74%) and sole in 1, The recurrence rates of craniofacial hyperhidrosis were 0 in the first and the second years and 2% each in the third and fourth years. Conclusion: Transthoracic endoscopic sympathectomy is a safe and effectivemethod for treating craniofacial hyperhidrosis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/21 alle ore 02:52:39