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Titolo:
Lin-telaranta classification: The importance of different procedures for different indications in sympathetic surgery
Autore:
Lin, CC; Telaranta, T;
Indirizzi:
Tainan Municipal Hosp, Dept Surg, Tainan, Taiwan Tainan Municipal Hosp Tainan Taiwan pal Hosp, Dept Surg, Tainan, Taiwan
Titolo Testata:
ANNALES CHIRURGIAE ET GYNAECOLOGIAE
fascicolo: 3, volume: 90, anno: 2001,
pagine: 161 - 166
SICI:
0355-9521(2001)90:3<161:LCTIOD>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
HYPERHIDROSIS; EXPERIENCE;
Keywords:
Endoscopic Sympathetic Block by clamping, (ESB), Lin-Telaranta classification, reflex sweating, conflicted type social phobia; blushing and facial sweating; hand and underarm sweating;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Lin, CC Tainan Municipal Hosp, Dept Surg, 670 Chungte Rd, Tainan, Taiwan Tainan Municipal Hosp 670 Chungte Rd Tainan Taiwan ainan, Taiwan
Citazione:
C.C. Lin e T. Telaranta, "Lin-telaranta classification: The importance of different procedures for different indications in sympathetic surgery", ANN CHIR GY, 90(3), 2001, pp. 161-166

Abstract

Background and Aims: The second sympathetic thoracic ganglion has long been regarded as the most important structure in all sympathetic procedures for any indication, be it hand sweating, blushing, or social phobia. Earlier,we had found an interesting new basis for the selection of more specific methods in individual disorders. The aim of the present study was to either confirm the old theory or to bring forward a more appropriate theory for sympathetic surgery to be used as a classified method. Material and Methods: Altogether 193 patients were treated in Taiwan and 55 in Finland according to the new selective principle. Endoscopic sympathetic block of the second thoracic ganglion (ESB 2) was used as a method for conflicted type of social phobia or blushing for 25 patients. ESB 3 was usedfor facial sweating and blushing for 55 patients. ESB 4 was used for hand and axillary sweating for 168 patients. Reflex sweating was taken as the most important sign of unsuccessful surgery. Results: All patients benefited of the procedure in their presenting symptoms. Four of 25 cases in ESB 2 -group and three of 55 cases in ESB 3 -grouphad unacceptable reflex sweating. No patient with reflex sweating was found in ESB 4 -group. These results confirm our previous findings, that sympathetic nerves innervate the human body in similar dermatome fashion as the peripheral nervous system. According to this, we organized the various sympathetic disorders into three main categories: those restricted within the head, like conflicted type social phobia and conflicted type blushing, to Group 1; those on thehead and face, like sweating with or without blushing, to Group 2; and those in the hands and underarms to Group 3. The principle of different surgical procedures for different disorders of the sympathetic system are proposed: ESB 2 for Group 1, ESB 3 for Group 2, and ESB 4 for Group 3 disorders. Conclusions: We call this new classification "Lin-Telaranta classification". Not only the incidence of complication rates is lowered but also the side effects can be predicted by the Lin-Telaranta classification in sympathetic surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 14:34:12