The aim of this study is to evaluate the efficacy of bilateral thoracoscopic sympathectomy in alleviating symptoms and improving quality of life in patients with hyperhidrosis or facial blushing and to investigate the occurrence, severity and possible underlying factors to compensatory sweating after surgery. One hundred and sixty-three patients in a single institution underwent bilateral thoracoscopic sympathectomy with a mean follow-up period of 51 5— months. Success rates were palmar
A sympathectomy is procedure to cut or block a nerve in the middle of your body. During the procedure, the sympathetic nerve along your spine is cut, burned, or clipped. This prevents signals passing from your brain through the nerve and causing symptoms.
People with excessive sweating live with a variety of day-to-day challenges: personal and professional limitations, ongoing discomfort, looming embarrassment, to name just a few. Hyperhidrosis sufferers know that this one thing impacts everything they do or can't do ; it's an ever-present worry. Thankfully, we are seeing great improvements in hyperhidrosis treatment and in the understanding of this under-acknowledged condition.
Aetna considers thoracoscopic sympathectomy medically necessary for any of the following conditions:. Aetna considers thoracoscopic sympathectomy cosmetic for excessive spontaneous facial blushing. Aetna considers left thoracoscopic sympathectomy experimental and investigational for cardiac denervation in persons with heart failure because the effectiveness of this approach for these indications has not been established.
Blushing or facial reddening is an involuntary reaction, usually as a result of a strong emotional response that stimulates the sympathetic nervous system to increase the flow of blood to the skin of the face. People with facial blushing may also have hyperhidrosis excessive sweating. Conservative treatment for facial blushing includes oral medications such as beta-blockers or anticholinergics.
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Endoscopic thoracic sympathectomy ETS is a surgical procedure in which a portion of the sympathetic nerve trunk in the thoracic region is destroyed. By far the most common complaint treated with ETS is sweaty palms palmar hyperhidrosis. The intervention is controversial and illegal in some jurisdictions.
Hyperhidrosis pp Cite as. There is growing interest on the internet regarding treatment options for facial blushing and craniofacial hyperhidrosis. If patients seek medical help they should be advised to see a dermatologist or an internist to rule out serious underlying disorders before surgical options are discussed.
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Hyperhidrosis, or over perspiration, is caused by excessive secretion of the sweat glands. This disorder affects a small but significant proportion of young people all over the world. The cause of the sweating is believed to be over stimulation of the sympathetic nerves that supply the offending sweat glands.