Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
A new mode of percutaneous upper thoracic phenol sympathicolysis: Report of 50 cases
Autore:
Wang, YC; Wei, SH; Sun, MH; Lin, CW;
Indirizzi:
Taichung Vet Gen Hosp, Dept Neurosurg, Taichung 40705, Taiwan Taichung VetGen Hosp Taichung Taiwan 40705 surg, Taichung 40705, Taiwan Chung Shan Med & Dent Coll, Taichung, Taiwan Chung Shan Med & Dent Coll Taichung Taiwan Dent Coll, Taichung, Taiwan Natl Def Med Ctr, Taipei, Taiwan Natl Def Med Ctr Taipei TaiwanNatl Def Med Ctr, Taipei, Taiwan
Titolo Testata:
NEUROSURGERY
fascicolo: 3, volume: 49, anno: 2001,
pagine: 628 - 634
SICI:
0148-396X(200109)49:3<628:ANMOPU>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRIMARY PALMAR HYPERHIDROSIS; SYMPATHECTOMY; TEMPERATURE; BLOCK;
Keywords:
axillary bromidrosis; palmar hyperhidrosis; percutaneous; phenol sympathicolysis; rib head; sympathetic trunk;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Wang, YC Taichung Vet Gen Hosp, Dept Neurosurg, 160 Taichung Kang Rd,Sec 3, Taichung 40705, Taiwan Taichung Vet Gen Hosp 160 Taichung Kang Rd,Sec 3 Taichung Taiwan 40705
Citazione:
Y.C. Wang et al., "A new mode of percutaneous upper thoracic phenol sympathicolysis: Report of 50 cases", NEUROSURGER, 49(3), 2001, pp. 628-634

Abstract

OBJECTIVE: Our previous study demonstrated that a high concentration of phenol (75-90%) with minimal volume (0.02 ml) can elicit serious degenerationof ganglion cells of the stellate ganglia in cats. Another previous study in our clinical patients demonstrated that approximately 84 to 90% of the upper thoracic (T2-T3) sympathetic trunks can be found under an endoscope onthe ventral side of the T2-T3 rib heads. in this report, we present a new mode of dorsal percutaneous thoracic phenol sympathicolysis (PTPS) for the treatment of palmar hyperhidrosis or axillary bromidrosis. METHODS: Fifty patients with palmar hyperhidrosis or axillary bromidrosis were injected with 75% phenol into a total of 98 sides of the T2-T3 or T3-T4 sympathetic trunks and ganglia. The injected volume was 0.6 to 1.2 ml (average, 0.8 ml) for each side. The technique of dorsal percutaneous injection was performed under local anesthesia or local with intravenous general anesthesia and under the guidance of a C-arm fluoroscope. RESULTS: Forty patients (80%) showed satisfactory results, including cessation of sweating. The success rates of PTPS were 83.7% (41 of 49 patients) on the left side and 91.8% (45 of 49 patients) on the right side. The skin temperature of the thumb increased by 5.3 to 5.4 degreesC approximately 1 hour after the phenol injection in patients with satisfactory results, whereas it increased by only 1.3 to 2.7 degreesC in patients who had unsatisfactory results. CONCLUSION: PTPS may be a good alternative to endoscopic sympathectomy to treat palmar hyperhidrosis and axillary bromidrosis. The skin temperature of the thumb is still a useful index to evaluate preliminarily whether PTPS has been successful.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/21 alle ore 10:47:53